Individual
DR. JENNIFER WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
705 CEDAR LN FL 1, TEANECK, NJ 07666-1702
(646) 239-8032
Mailing address
705 CEDAR LN FL 1, TEANECK, NJ 07666-1702
(646) 239-8032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018153
NY
103TC0700X
Clinical Psychologist
Primary
4796
NJ
Other
Enumeration date
02/25/2009
Last updated
10/23/2017
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