Individual
MS. JENNIFER HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 WEST 12TH ST., STE 1B, NEW YORK, NY 10011
(212) 255-2216
Mailing address
345 W 12TH ST, 3, NEW YORK, NY 10014-1702
(212) 255-9093
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
RO40927
NY
1041C0700X
Clinical Social Worker
RO40927
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2008
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