Individual
DR. JACQUELINE MARIE HARBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 946-4804
Mailing address
222 WYETH DR, GETZVILLE, NY 14068-1260
(716) 946-4804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P11638
NY
Other
Enumeration date
12/21/2018
Last updated
01/14/2021
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