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Contact Information

MARY E JEANNOTTE, PHD
7030 E GENESEE ST
FAYETTEVILLE, NY13066
 Phone: 315-682-0871
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY E JEANNOTTE · (Female)

NPI Number 1265455620
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0122191
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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