Individual
JESSICA RANDEL JANICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 TRESSER BLVD APT 624, STAMFORD, CT 06901-3438
(610) 574-5136
Mailing address
100 TRESSER BLVD APT 624, STAMFORD, CT 06901-3438
(610) 574-5136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024698
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/30/2020
Last updated
06/03/2025
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