Individual
DR. JENNA HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 COLUMBUS CIR, NEW YORK, NY 10019-1412
(212) 326-8500
Mailing address
5 COLUMBUS CIR, NEW YORK, NY 10019-1412
(212) 326-8500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024612
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2019
Last updated
12/13/2021
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