Individual
JESSICA LINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020233-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
020233-1
NY
Other
Enumeration date
08/24/2011
Last updated
11/14/2019
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