Provider Demographics
NPI:1518019017
Name:MCQUAID, JENNIFER HAMILTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HAMILTON
Last Name:MCQUAID
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 KATONAH AVE
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2138
Mailing Address - Country:US
Mailing Address - Phone:646-337-4119
Mailing Address - Fax:
Practice Address - Street 1:215 KATONAH AVE
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2138
Practice Address - Country:US
Practice Address - Phone:646-337-4119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017903-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical