Individual provider · Type 1 NPI
Jenny Dietz-Samudio, MASTER OF SCIENCE
Psychologist · Hollis, NY
Practice location
184-10 Jamaca Ave
Hollis, NY 11423
Mailing address
3571 Bunker Ave
Wantagh, NY 11793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | None listed |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
About NPI 1922243583
Jenny Dietz-Samudio, MASTER OF SCIENCE's National Provider Identifier is 1922243583, issued on Dec 11, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Hollis, NY. The record was last updated on Jul 21, 2022.