Individual
JENNIFER TAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
136 E 57TH ST STE 1101, NEW YORK, NY 10022-2962
(212) 308-2440
Mailing address
136 E 57TH ST STE 1101, NEW YORK, NY 10022-2962
(212) 308-2440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7144120
NY
103TP2701X
Group Psychotherapy Psychologist
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Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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