Provider Demographics
NPI:1841551215
Name:JENNINGS, PILAR (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:PILAR
Middle Name:
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 E 83RD ST
Mailing Address - Street 2:#2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7270
Mailing Address - Country:US
Mailing Address - Phone:212-396-3968
Mailing Address - Fax:
Practice Address - Street 1:524 E 83RD ST
Practice Address - Street 2:#2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7270
Practice Address - Country:US
Practice Address - Phone:212-396-3968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000867102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst