Individual
MRS. JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED SCHOOL PSY
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(631) 385-7780
(631) 385-7795
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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