Individual
LEE CLINTON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, LP
Contact information
Practice address
255 W 108TH ST APT 5D, NEW YORK, NY 10025-2924
(212) 662-0775
(212) 663-4531
Mailing address
255 W 108TH ST APT 5D, NEW YORK, NY 10025-2924
(212) 662-0775
(212) 663-4531
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000007
NY
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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