Individual
DR. JENNIFER MOOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 W 86TH ST APT 9C, NEW YORK, NY 10024-3664
(347) 429-4717
Mailing address
660 FORT WASHINGTON AVE APT 5D, NEW YORK, NY 10040-3908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022526
NY
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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