DR. Jennica Laine-Formisano, PSY.D.
NPI #1346587862 in Kingston, New York
Provider Information
- NPI Number
- 1346587862
- Entity Type
- Individual
- Name
- DR. Jennica Laine-Formisano, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- Jan 4, 2013
- Last Updated
- May 7, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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