Dr. Jenna Bass, Ph.D.
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1669907101
StatusActive
Last updated in NPPESMay 30, 2018
Details
- NPI
- 1669907101
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenna Bass
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2017
- Last updated
- May 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 022214 | NY | Yes |
Practice location
635 W 165th St6th Floor, Eye-6
New York, NY 10032-3724
Phone 212-305-9433
Mailing address
710 W 168th St Fl 12New York, NY 10032-3726
Phone 212-305-9758
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