Individual
JESSICA EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
32 UNION SQ E STE 511, NEW YORK, NY 10003-3244
(929) 367-1160
Mailing address
46 SAINT MARKS AVE APT 1, BROOKLYN, NY 11217-4757
(201) 259-5657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023253
NY
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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