Individual
DR. JENNIFER M RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4 AIRLINE DR, SUITE 202, COLONIE, NY 12205-1023
(518) 421-2142
Mailing address
12 DUMBARTON DR, DELMAR, NY 12054-3508
(518) 421-2142
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018006-1
NY
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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