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Jennica Laine-Formisano, PSY.D
NPI 1346587862 · on the registry since 2013 · sole proprietor
Practice
- Address
- 260 Kings Mall Ct # 331
Kingston, NY 12401 - Phone
- (845) 489-3687
- Organisation at this address
- Jennica Laine-Formisano Psyd
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 20 Milton Ave, Highland, NY
- 148 Burt St, Saugerties, NY
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York