Individual
DR. JEANETTE B. TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1177 HIGH RIDGE RD., SUITE 240, STAMFORD, CT 06905
(203) 912-2039
Mailing address
1177 HIGH RIDGE RD., SUITE 240, STAMFORD, CT 06905
(203) 912-2093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002867
CT
103TC0700X
Clinical Psychologist
002867
CT
103TC0700X
Clinical Psychologist
Primary
016860
NY
Other
Enumeration date
06/11/2008
Last updated
12/06/2021
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