Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 35SJ00432700 | NJ |
NPI | 1093932519 |
---|---|
Provider Name | Dr. Jennifer Hanych |
First Address | Three Bridges, NJ 08887-0383 |
Second Address | Flemington, NJ 08822-1615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |