Individual
JESSICA OLSON ERMILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
276 5TH AVE FL 5, NEW YORK, NY 10001-4527
(212) 828-7473
Mailing address
2 LAKEWOOD DR, MEDIA, PA 19063-1808
(484) 319-9028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023544-01
NY
Other
Enumeration date
12/06/2019
Last updated
07/07/2025
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