Individual provider · Type 1 NPI

Jennica Laine-Formisano, PSY.D.

Clinical Psychologist · Kingston, NY

NPI number 1346587862 Active

Practice location

260 Kings Mall Ct # 331
Kingston, NY 12401-1574

Call (845) 489-3687 Map

Mailing address

148 Burt St
Saugerties, NY 12477-1907

Other practice locations

  • 20 Milton Ave, Highland, NY 12528-1415 · (845) 489-3687
  • 148 Burt St, Saugerties, NY 12477-1907 · (845) 489-3687

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X021267-1 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1346587862

Jennica Laine-Formisano, PSY.D.'s National Provider Identifier is 1346587862, issued on Jan 4, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Kingston, NY. The record was last updated on May 7, 2021.