Individual
KHADEEJA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 424-1645
Mailing address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 424-1645
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
948361151
NY
Other
Enumeration date
01/20/2016
Last updated
03/08/2017
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