Provider Demographics
NPI:1821359886
Name:SPECKMAN, JEANNEMARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEANNEMARIE
Middle Name:
Last Name:SPECKMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JEANNEMARIE
Other - Middle Name:
Other - Last Name:SPECKMAN-KILROE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1 ODELL PLZ
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1402
Mailing Address - Country:US
Mailing Address - Phone:914-965-1152
Mailing Address - Fax:914-965-1419
Practice Address - Street 1:1 ODELL PLZ
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1402
Practice Address - Country:US
Practice Address - Phone:914-965-1152
Practice Address - Fax:914-965-1419
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist