Individual
JENNIFER IVY MILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BURTIS ST, LYNBROOK, NY 11563-1301
(516) 376-5205
Mailing address
65 BURTIS ST, LYNBROOK, NY 11563-1301
(516) 376-5205
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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