Jill Marie Henriksen PSY.D.

NPI 1629354758 - Psychologist - 103T00000X

NPI Details
NPI 1629354758
Gender Female
Enumeration Date 11/03/2011
Last Updated 11/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
74 LYNTON RD
ALBERTSON NY, 11507-2027, US
Phone (516) 662-7343
Fax
Business Location
74 LYNTON ROAD
ALBERTSON NY, 11507, US
Phone (516) 662-7343
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New York
License Number 019243-1
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According to our database, Dr. Jill Marie Henriksen PSY.D. NPI is 1629354758, taxonomy code is 103T00000X and license number is 019243-1, license state is located at New York. Jill Marie Henriksen PSY.D. physically located at 74 Lynton Rd, Albertson NY, 11507-2027. NPI Number Jill Marie Henriksen PSY.D. has the Individual type.

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1629354758 NPI number is provided on an as is basis without warranty of any kind. 1629354758 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Marie Henriksen PSY.D. are for informational purposes only.