Individual
JENNIFER ANN HYDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
211 LANCASTER AVE, BUFFALO, NY 14222
(716) 981-3555
Mailing address
211 LANCASTER AVE, BUFFALO, NY 14222
(716) 845-3052
(716) 598-1355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017749
NY
Other
Enumeration date
12/02/2011
Last updated
06/10/2021
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