Individual
DR. JILL ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 BLACHLEY RD, 2ND FLOOR, STAMFORD, CT 06902
(203) 276-8479
(203) 276-2282
Mailing address
1 BLACHLEY RD, 2ND FLOOR, STAMFORD, CT 06902
(203) 276-8479
(203) 276-2282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003589
CT
103T00000X
Psychologist
021612
NY
103T00000X
Psychologist
—
—
Other
Enumeration date
07/17/2014
Last updated
05/05/2021
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