Individual
DR. MARYAM JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
Mailing address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8.003430
CT
Other
Enumeration date
10/31/2006
Last updated
07/30/2015
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