| Jag Psychology Pc | |
|
180 S Broadway Ste 202 White Plains NY 10605-1820 | |
| (914) 414-2253 | |
| (914) 214-8476 |
| Full Name | Jag Psychology Pc |
|---|---|
| Speciality | Psychologist |
| Location | 180 S Broadway Ste 202, White Plains, New York |
| Authorized Official Name and Position | Jennifer Gullesserian Straley (PSYCHOLOGIST) |
| Authorized Official Contact | 9144142253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Psychology Pc 180 S Broadway Ste 202 White Plains NY 10605-1820 Ph: (914) 414-2253 | Jag Psychology Pc 180 S Broadway Ste 202 White Plains NY 10605-1820 Ph: (914) 414-2253 |
| NPI Number | 1386948420 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 08/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386948420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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