Individual
JENNA MCCUTCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDUCATION SPECIALIST
Contact information
Practice address
11050 71ST RD STE 1M, FOREST HILLS, NY 11375-4972
(347) 601-4722
Mailing address
46 ADRIENNE LN, SMITHTOWN, NY 11788-2765
(631) 219-6644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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