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Individual

JESSICA JANKOWSKI NYSENBAUM

Active
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Individual

JESSICA JANKOWSKI NYSENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PSYA00099
DC
103TC0700X
Clinical Psychologist
Primary
06061
MD

Other

Enumeration date
10/20/2016
Last updated
06/11/2019
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