Individual
JACQUELINE NICOLE FRETWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 MARCUS AVE STE E128, NEW HYDE PARK, NY 11042-1000
(516) 336-9808
Mailing address
2001 MARCUS AVE STE E128, NEW HYDE PARK, NY 11042-1000
(516) 659-1105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
026947
NY
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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