Individual
DR. JEAN MARIE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
535 W 110TH ST, SUITE 1J, NEW YORK, NY 10025-2086
(212) 579-9288
(212) 579-9288
Mailing address
535 WEST 110TH STREET, SUITE 1J, NEW YORK, NY 10025-2066
(212) 579-9288
(212) 579-9288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013444-1
NY
Other
Enumeration date
05/24/2006
Last updated
12/05/2018
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