Jessica Stephanie Boisrond-Canal, M.S.
Psychologist, School in Forest Hills, NY. Individual provider (NPI-1).
NPI number1649847005
StatusActive
Last updated in NPPESJun 12, 2021
Details
- NPI
- 1649847005
- Entity type
- Individual (NPI-1)
- Name
- Jessica Stephanie Boisrond-Canal
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 12, 2021
- Last updated
- Jun 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 1495553211 | NY | Yes |
Practice location
7000 Austin StForest Hills, NY 11375-1022
Phone 718-762-7633
Mailing address
152 Weeks DrDix Hills, NY 11746-6216
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All 51 School Psychologist providers in Forest Hills · All 4,796 providers in Forest Hills
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