Individual
JENICKA HORNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
10339
MA
103TC0700X
Clinical Psychologist
Primary
10339
MA
103TC2200X
Clinical Child & Adolescent Psychologist
10339
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
10339
MA
Other
Enumeration date
06/12/2013
Last updated
04/26/2016
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