Individual
DR. JASALYN L ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
321 BOLTON AVE, BRONX, NY 10473-3027
(917) 318-7758
Mailing address
321 BOLTON AVE, BRONX, NY 10473-3027
(917) 318-7758
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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