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Jessica Forman, PSY.D
NPI 1629359948 · on the registry since 2011 · sole proprietor
Practice
- Address
- 120 E 87th St Apt P18b
New York, NY 10128 - Phone
- (212) 987-3601
- Organisation at this address
- Ackerman Institute For The Family
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-31
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