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Jenine Tulledge-Wolff

Clinical Neuropsychologist in Farmington, CT. Individual provider (NPI-1).

NPI number1669200580
StatusActive
Last updated in NPPESJul 23, 2024

Details

NPI
1669200580
Entity type
Individual (NPI-1)
Name
Jenine Tulledge-Wolff
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2024
Certification date
Jul 23, 2024
Last updated
Jul 23, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist4799CTYes

Practice location

231 Farmington Ave
Farmington, CT 06032-1940

Phone 716-474-3703

Mailing address

231 Farmington Ave
Farmington, CT 06032-1940

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Neuropsychologist providers in Farmington, CT

All 8 Clinical Neuropsychologist providers in Farmington · All 3,315 providers in Farmington

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