Doctor Name: | MRS. JENNI S RISPOLI |
NPI Number: | 1245311018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 069957-1 |
Business Practice Address: | 233 Hickory Corner Rd East Windsor, NJ - 085201218 |
Business Phone Number: | 5163813218 |
Business Fax Number: | |
Mailing Address: | 233 Hickory Corner Rd, EAST WINDSOR |
State: | NJ |
Postal Code: | 085201218 |
Phone Number: | 5163813218 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 069957-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |