Unknown Jayvanti LCSW

NPI 1457406043 - Psychologist - 103T00000X

NPI Details
NPI 1457406043
Gender Female
Enumeration Date 01/24/2007
Last Updated 12/01/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
182 W LORENGO AVE
NORFOLK VA, 23503-4339, US
Phone (770) 273-0278
Fax (747) 965-9077
Business Location
182 W LORENGO AVE
NORFOLK VA, 23503-4339, US
Phone (720) 273-0278
Fax (303) 447-8008
Toxanomy
Taxonomy Code 103T00000X
License State Colorado
License Number 992394
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According to our database, Ms. Unknown Jayvanti LCSW NPI is 1457406043, taxonomy code is 103T00000X and license number is 992394, license state is located at Colorado. Unknown Jayvanti LCSW physically located at 182 W Lorengo Ave, Norfolk VA, 23503-4339. NPI Number Unknown Jayvanti LCSW has the Individual type.

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1457406043 NPI number is provided on an as is basis without warranty of any kind. 1457406043 is maintained by the National Plan & Provider Enumeration System. The contents of Unknown Jayvanti LCSW are for informational purposes only.