NPI 1669200580

Jenine Tulledge-Wolff

Practitioner Clinical Neuropsychologist Farmington, CT

Practice location

Address: 231 Farmington Ave, Farmington, CT 06032-1940
Phone: (716) 474-3703

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 4799 (CT)

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Registry record

NPI: 1669200580
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2024
Record last updated: 23 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.