Organization
JENNIE SONG, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIE SONG PSYD (CLINICAL PSYCHOLOGIST)
(860) 333-8421
Entity
Organization
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
—
—
Other
Enumeration date
02/13/2023
Last updated
12/02/2023
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