Individual
JENNIE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
270 FARMINGTON AVE STE 313, FARMINGTON, CT 06032-1909
(860) 333-8421
Mailing address
55 BRINLEY WAY, NEWINGTON, CT 06111-1152
(860) 878-9333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004249
CT
Other
Enumeration date
06/04/2013
Last updated
11/17/2023
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