Individual
DR. JENNIFER S. BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
94 MARSHALL DR, ENDICOTT, NY 13760-4409
(315) 378-8973
(607) 785-0400
Mailing address
94 MARSHALL DR, ENDICOTT, NY 13760-4409
(315) 378-8973
(607) 785-0077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012700
NY
103TC2200X
Clinical Child & Adolescent Psychologist
012700
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
012700
NY
103TP2701X
Group Psychotherapy Psychologist
012700
NY
Other
Enumeration date
07/08/2013
Last updated
06/10/2014
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