Individual
DR. JACLYN E MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2850 N JERUSALEM RD, WANTAGH, NY 11793-1125
(516) 396-2697
Mailing address
214 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4847
(516) 849-0129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021690
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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