Individual
JENNA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17 W 45TH ST STE 907, NEW YORK, NY 10036
(718) 334-4000
Mailing address
17 W 45TH ST STE 907, NEW YORK, NY 10036-4907
(646) 868-8396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021339
NY
Other
Enumeration date
12/28/2015
Last updated
06/11/2018
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