Individual
BARBARA JORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
56 SEGUINE AVE, STATEN ISLAND, NY 10309-3717
(908) 272-4877
Mailing address
386 PLAINFIELD RD, EDISON, NJ 08820-3045
(848) 200-7328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
NJ2972
NJ
103TC0700X
Clinical Psychologist
Primary
NY010752
NY
Other
Enumeration date
12/05/2006
Last updated
04/06/2015
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