Doctor Name: | MS. JENNIFER ELAINE FAULKNOR |
NPI Number: | 1053508044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 020560 |
Business Practice Address: | 141 North Central Avenue Hartsdale, NY - 10530 |
Business Phone Number: | 9149497699 |
Business Fax Number: | 9149493224 |
Mailing Address: | 1827 Edenwald Avenue, BRONX |
State: | NY |
Postal Code: | 10466 |
Phone Number: | 9149497699 |
Fax Number: | 9149493224 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 020560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |