Jessica Forman PSY.D.

NPI 1629359948 - Psychologist - 103TC2200X

NPI Details
NPI 1629359948
Gender Female
Enumeration Date 08/31/2011
Last Updated 08/31/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
120 E 87TH ST APT P18B
NEW YORK NY, 10128-1119, US
Phone (212) 987-3601
Fax
Business Location
120 E 87TH ST APT P18B
NEW YORK NY, 10128-1119, US
Phone (212) 987-3601
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State New York
License Number 017262
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According to our database, Dr. Jessica Forman PSY.D. NPI is 1629359948, taxonomy code is 103TC2200X and license number is 017262, license state is located at New York. Jessica Forman PSY.D. physically located at 120 E 87th St Apt P18b, New York NY, 10128-1119. NPI Number Jessica Forman PSY.D. has the Individual type.

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1629359948 NPI number is provided on an as is basis without warranty of any kind. 1629359948 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Forman PSY.D. are for informational purposes only.