Individual provider · Type 1 NPI

Jenna Koonin, PSY.D.

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1366775744 Active

Practice location

455 W 23rd St, Suite 1A
New York, NY 10011-2148

Call (203) 701-8712 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366775744

Jenna Koonin, PSY.D.'s National Provider Identifier is 1366775744, issued on Sep 16, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jan 13, 2015.