Individual
DR. JENNIFER LYNN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3270 SUNTREE BLVD STE 127, MELBOURNE, FL 32940-7522
(321) 372-8608
Mailing address
3270 SUNTREE BLVD STE 127, MELBOURNE, FL 32940-7522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017546
NY
103T00000X
Psychologist
PY 8640
FL
103TC0700X
Clinical Psychologist
Primary
PY8640
FL
Other
Enumeration date
06/13/2007
Last updated
06/14/2021
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