Individual
DR. JENNIFER COON-WALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
76 BEDFORD ST, SUITE 10, LEXINGTON, MA 02420-4646
(781) 869-1350
Mailing address
76 BEDFORD STREET, SUITE 10, LEXINGTON, MA 02420
(781) 869-1350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8099
MA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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