Individual
JENNIFER MARIE LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 568-6141
Mailing address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 568-6141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10933
MA
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2010
Last updated
01/31/2019
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