Individual
DR. JAYITA DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1500 EASTWAY DRIVE DEWEESE HEALTH CTR, KENT STATE UNIVERSITY, KENT, OH 44242-0001
(330) 672-2487
(330) 672-2127
Mailing address
1500 EASTWAY DRIVE DEWEESE HEALTH CTR, KENT STATE UNIVERSITY, KENT, OH 44242-0001
(330) 672-2487
(330) 672-2127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7258
OH
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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