Individual
DR. JENNIFER WEST-GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
2301 E EVESHAM RD STE 206, VOORHEES, NJ 08043
(856) 472-6092
Mailing address
2301 E EVESHAM RD STE 206, VOORHEES, NJ 08043-4504
(856) 472-6092
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
35SI00589700
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063913176
HORIZON
—
Enumeration date
02/23/2018
Last updated
01/07/2021
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