Individual
JACOB SIMON AMOUYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183A BLUE RIDGE DRIVE EXT, WATERBURY, CT 06704
(917) 519-3973
Mailing address
183A BLUE RIDGE DRIVE EXT, WATERBURY, CT 06704
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
206511
NV
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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