Individual
DR. JILLIAN BUCHWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
276 5TH AVE, NEW YORK, NY 10001-4509
(310) 633-0052
Mailing address
PO BOX 226, SHORT HILLS, NJ 07078-0226
(310) 633-0052
(310) 988-2680
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20748
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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