Individual
JESSICA BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2-12 W PARK AVE STE 200, LONG BEACH, NY 11561-2020
(516) 889-2332
Mailing address
2-12 W PARK AVE STE 200, LONG BEACH, NY 11561-2020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
100133-01
NY
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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