Individual
JESSICA GILCH PESANTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
120 DANIEL AVE, RUTHERFORD, NJ 07070-2717
(201) 893-9932
Mailing address
120 DANIEL AVE, RUTHERFORD, NJ 07070-2717
(201) 893-9932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016127
NY
103TC0700X
Clinical Psychologist
Primary
35SI00473100
NJ
Other
Enumeration date
09/15/2006
Last updated
04/30/2014
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