Jack & Jill Developmental Services, Slp, Ot & Psychology, Pllp

NPI #1336482223 in Liberty, New York

Provider Information

NPI Number
1336482223
Entity Type
Organization
Organization Name
Jack & Jill Developmental Services, Slp, Ot & Psychology, Pllp
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Mar 29, 2013
Last Updated
Mar 29, 2013

Practice Location

Address
17 N MAIN ST
ZIP Code
12754-1807
Phone
(845) 292-4134

Authorized Official

Name
DR. JEFFREY PETER JENSEN, PH.D.
Title
PARTNER
Phone
(845) 292-4134

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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