Individual
DR. JESSICA MARIE HUSSAR BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023416
NY
103TS0200X
School Psychologist
993174151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023416
PSYCHOLOGIST LICENSE NUMBER
NY
01
—
41401
NCSP CERTIFICATION NUMBER
—
01
—
993174151
SCHOOL PSYCHOLOGIST STATE CERTIFICATION CONTROL NUMBER
NY
Enumeration date
09/13/2012
Last updated
06/28/2023
Update your record
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