Individual
DR. LAWRENCE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20 BRANDY WINE XING, ROXBURY, CT 06783-1220
(860) 350-0945
Mailing address
20 BRANDY WINE XING, ROXBURY, CT 06783-1220
(860) 350-0945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001583
CT
103TC0700X
Clinical Psychologist
Primary
009803
NY
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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