Individual
DR. JENNIFER JO BROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, ED.M
Contact information
Practice address
231 WEAVER ST, APT 16H, GREENWICH, CT 06831-4251
(914) 255-3839
Mailing address
231 WEAVER ST, APT 16H, GREENWICH, CT 06831-4251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002889
CT
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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