Individual
JESSICA A CALLANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
303 5TH AVE STE 1802, NEW YORK, NY 10016-6601
(917) 705-6155
(212) 252-8808
Mailing address
303 5TH AVE STE 1802, NEW YORK, NY 10016-6601
(917) 705-6155
(212) 252-8808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022829
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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