Individual
DR. JENNIFER JUNE SILLENCE MASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
120 SIMPSON AVE, HURLBURT FIELD, FL 32544-5400
(850) 884-5571
Mailing address
120 SIMPSON AVE, HURLBURT FIELD, FL 32544-5400
(850) 884-5571
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6559
FL
Other
Enumeration date
09/08/2005
Last updated
05/19/2023
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