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Individual

DR. MARY JANE NOVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
13307 W PAINTBRUSH DR, SUN CITY WEST, AZ 85375
(215) 287-2116
Mailing address
13307 W PAINTBRUSH DR, SUN CITY WEST, AZ 85375-2531
(215) 287-2116

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3850
AZ
103TC0700X
Clinical Psychologist
PS006016L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
413429
BLUE SHIELD
PA
Enumeration date
01/09/2006
Last updated
10/02/2018
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