Individual
JORDYN LEAH SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 W 34TH ST PH, NEW YORK, NY 10001-3006
(646) 918-1181
Mailing address
34 HONEYSUCKLE CT, MELVILLE, NY 11747-4238
(516) 241-5675
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
113796
NY
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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