Individual
KATHERINE JENNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
171 W 79TH ST, 1, NEW YORK, NY 10024-6449
(773) 354-4070
Mailing address
214 E 84TH ST, 4B, NEW YORK, NY 10028-2931
(773) 354-4070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021000
NY
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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