Individual
DR. JESSICA BALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
2106 33RD ST APT D4, ASTORIA, NY 11105-2359
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
022880
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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