Individual
DR. JENNIFER LITTERICK SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
760 PERINTON HILLS OFFICE PARK, FAIRPORT, NY 14450
(585) 223-5920
(585) 223-5727
Mailing address
1016 ROYAL DR, VICTOR, NY 14564
(585) 742-2092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125747FC
PREFERRED CARE
NY
01
—
7391612
AETNA
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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