Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 022008-1 | NY |
NPI | 1124497169 |
---|---|
Provider Name | Jeneane Solz |
First Address | New York, NY 10128-0815 |
Second Address | New York, NY 10128-0815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 30/10/2019 |