MEDICARE: JENNIFER C FIGURELLI PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	355100147800	NJ

General Provider Information

NPI Number	:	1417025727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER C FIGURELLI PHD

Provider Business Mailing Address
First Line	:	88 HIGHLAND AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5802
Country	:	US
Telephone Number	:	201-433-4212
Fax Number	:	201-433-4212

Provider Business Practice Location Address
First Line	:	88 HIGHLAND AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5802
Country	:	US
Telephone Number	:	201-433-4212
Fax Number	:	201-433-4212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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