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Contact Information

JENNIFER L SONG, PHD
760 PERINTON HILLS OFFICE PARK
FAIRPORT, NY14450
 Phone: 585-223-5920
 Fax: 585-223-5727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER L SONG · (Female)

NPI # 1093818486
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 013742
  • NY Other 7391612 AETNA
  • NY Other 125747FC PREFERRED CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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