Individual
DR. JENNIFER LORI NADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 W 57TH ST STE 1212, NEW YORK, NY 10019-2401
(917) 270-9242
Mailing address
119 W 57TH ST STE 1212, NEW YORK, NY 10019-2401
(917) 270-9242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015411-1
NY
103TC0700X
Clinical Psychologist
Primary
015411
NY
103TC0700X
Clinical Psychologist
015411-1
NY
Other
Enumeration date
03/08/2007
Last updated
08/07/2019
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