Individual
JENNA T PALLADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
169 PUTNAM HALL, STONY BROOK, NY 11794
(631) 632-9510
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022787
NY
Other
Enumeration date
07/16/2018
Last updated
11/07/2019
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