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Jean Souffrant, MA NCPSYA

NPI 1881885440 · on the registry since 2007 · sole proprietor

Practice

Address
110-17 37th Avenue
Corona, NY 11368
Phone
(718) 429-1825
Fax
(718) 565-2086

Registry record

Primary taxonomy
102L00000X
102L00000X
Also registered as
101YM0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-07

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