DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER WALLACH, PHD

Active Sole Proprietor

DR. JENNIFER WALLACH, PHD is a Clinical Psychologist healthcare provider located in NEW YORK, New York. NPI 1316462930 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · NEW YORK, NY

Registration Details

NPI Number
1316462930
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2017 (9.0139402417395 yrs)
Last Updated
Aug 4, 2017
License
022264 (NY)
Sole Proprietor
Yes

Practice Information

Address
594 BROADWAY RM 907
NEW YORK, NY, 100123289
Browse NY providers · Browse ZIP 10012
Phone
6175716811
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in NEW YORK, NY

Name Credential NPI
DR. GERALD PERLMAN PH.D. 1649273483
DR. GILBERT B TUNNELL PHD 1346243029
DR. NATALIE KAREN FISHER PHD 1679571665
DR. WILLIAM FISHBEIN PH.D. 1366442287
BRIDGET AMATORE PH.D. 1487654372
JONATHAN FADER PHD 1710971064
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.