National Provider Identifier
Jennifer Litterick Song, PHD
Jennifer Litterick Song, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Fairport, NY and a listed phone number of (585) 223-5920.
Profile Overview
- NPI
- 1093818486
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 760 Perinton Hills Office Park
- Fairport, NY 14450
Phone: (585) 223-5920
Mailing Address
- 1016 Royal Dr
- Victor, NY 14564
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1093818486
- Entity Type
- Individual
- Last Name
- Song
- First Name
- Jennifer
- Middle Name
- Litterick
- Name Prefix
- Dr.
- Credential
- PHD
- Provider Other Last Name
- Litterick
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Kilburn
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- PHD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1016 Royal Dr
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564
- Mailing Country
- US
- Mailing Phone
- (585) 742-2092
- Practice Street Address
- 760 Perinton Hills Office Park
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 223-5920
- Practice Fax
- (585) 223-5727
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)
- Other Identifiers
- 7391612 (NY, Aetna), 125747FC (NY, Preferred Care)