Tedesco, Jennifer L

Tedesco, Jennifer L is an sole proprietor health care provider with primary practice located at 2 Cub Lake Rd , Byram Township NJ 07821-4050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tedesco, Jennifer L can be contacted via phone (267) 254-2111.

Contact Information

Primary practice address
2 Cub Lake Rd Byram Township NJ 07821-4050
Phone: (267) 254-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016381-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35S100535900 New Jersey
Behavioral Health & Social Service Providers / Psychologist 103T00000X B1-0000944 Delaware
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS015060 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100535900 New Jersey

Profile Details

NPI number 1992730022
LBN Legal business name Tedesco, Jennifer L
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Mar 27th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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