Individual
DR. ILENE D JURMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5 DOWSING PL, AMITYVILLE, NY 11701-3719
(631) 598-0147
(631) 598-4823
Mailing address
5 DOWSING PL, AMITYVILLE, NY 11701-3719
(631) 598-0147
(631) 598-4823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013920
NY
Other
Enumeration date
09/24/2006
Last updated
11/01/2007
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