Individual
ANN M AKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, LP
Contact information
Practice address
30 E MAIN ST, PORT JERVIS, NY 12771-1925
(917) 612-8950
Mailing address
30 E MAIN ST, PORT JERVIS, NY 12771-1925
(917) 612-8950
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
03/04/2007
Last updated
08/05/2021
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