Individual
DR. JILL BACKFIELD-WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
220 EAST 54TH ST., SUITE 1B, OFFICE 3, NEW YORK, NY 10022
(212) 691-6887
Mailing address
220 EAST 54TH ST., SUITE 1B, OFFICE 3, NEW YORK, NY 10022
(212) 691-6887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-1790261
—
NY
Enumeration date
10/10/2006
Last updated
05/24/2018
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