| Jennie Song, Psy.d., Llc | |
|
270 Farmington Ave Ste 313 Farmington CT 06032-1909 | |
| (860) 333-8421 | |
| Not Available |
| Full Name | Jennie Song, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 270 Farmington Ave Ste 313, Farmington, Connecticut |
| Authorized Official Name and Position | Jennie Song (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8603338421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Song, Psy.d., Llc 55 Brinley Way Newington CT 06111-1152 Ph: (860) 878-9333 | Jennie Song, Psy.d., Llc 270 Farmington Ave Ste 313 Farmington CT 06032-1909 Ph: (860) 333-8421 |
| NPI Number | 1578260139 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 12/02/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578260139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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