Individual
JENNIFER NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.M.
Contact information
Practice address
1825 BATH AVE, BROOKLYN, NY 11214-4613
(718) 238-4637
Mailing address
1825 BATH AVE, BROOKLYN, NY 11214-4613
(718) 238-4637
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1020901
NY
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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