Jennie Song, PSYD | |
270 Farmington Ave Ste 313, Farmington, CT 06032-1909 | |
(860) 333-8421 | |
Not Available |
Full Name | Jennie Song |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 270 Farmington Ave Ste 313, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427496108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 004249 (Connecticut) | Primary |
Entity Name | Harvest Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
Mailing Address | Practice Location Address |
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Jennie Song, PSYD 55 Brinley Way, Newington, CT 06111-1152 Ph: (860) 878-9333 | Jennie Song, PSYD 270 Farmington Ave Ste 313, Farmington, CT 06032-1909 Ph: (860) 333-8421 |
Mary Casey Jacob, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4550 Fax: 860-679-1845 | |
Julian Ford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032 Phone: 860-679-6700 Fax: 860-679-6736 | |
Dr. Cynthia Lynn Nye, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Ste 309, Farmington, CT 06032 Phone: 860-677-5570 | |
Carla L Corcione, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Suite 309, Farmington, CT 06032 Phone: 860-677-5570 Fax: 860-677-9570 | |
Dr. Nicole Sirrine Marshall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Forest Park Dr, Farmington, CT 06032 Phone: 860-269-7813 Fax: 860-269-8621 | |
Dr. Sandra Scantling, PSY.D., APRN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 778 Farmington Ave, Farmington, CT 06032 Phone: 860-677-1910 | |
Adrienne Vyse Miscimarra, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11 South Rd Ste 130, Farmington, CT 06032 Phone: 860-224-5161 |