Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEANETTE FOX BOUROULT, PSYD
ActiveDR. JEANETTE FOX BOUROULT, PSYD is a Psychologist healthcare provider located in ROCKAWAY, New Jersey. NPI 1962191304 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ROCKAWAY, NJ
Registration Details
- NPI Number
- 1962191304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2023 (3.3259492519795 yrs)
- Last Updated
- May 2, 2023
- License
-
35SI00711500 (NJ)
Practice Information
- Address
-
217 E MAIN STROCKAWAY, NJ, 078663602Browse NJ providers · Browse ZIP 07866
- Phone
- 9739833919
- Primary Specialty
-
Psychologist
103T00000X
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.