Individual
DR. JANE WASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 CHESTNUT DRIVE, GREAT NECK, NY 11021
(516) 487-4407
(516) 487-4407
Mailing address
2 CHESTNUT DRIVE, GREAT NECK, NY 11021
(516) 487-4407
(516) 487-4407
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
006126-1
NY
103TC0700X
Clinical Psychologist
Primary
6126
NY
103TH0100X
Health Service Psychologist
6126
NY
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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