Individual
DR. JENNIFER T. MASCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, NCSP
Contact information
Practice address
18 KINGS HWY STE 202, MIDDLETOWN, NJ 07748-2509
(917) 757-7748
Mailing address
6 SCHINDLER LN, MIDDLETOWN, NJ 07748-2446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015836
NY
103T00000X
Psychologist
Primary
4617
NJ
Other
Enumeration date
08/01/2020
Last updated
07/13/2021
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