Individual
JACLYN GHAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
233 E 70TH ST, 8P, NEW YORK, NY 10021-5223
(516) 458-9177
Mailing address
233 E 70TH ST, 8P, NEW YORK, NY 10021-5223
(516) 458-9177
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
020427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020427
PSYCHOLOGIST LICENSE
NY
Enumeration date
01/17/2014
Last updated
01/17/2014
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