Individual
JEANINE M-O DEVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 CRYSTAL RUN RD STE 102, MIDDLETOWN, NY 10941-4073
(845) 769-8179
Mailing address
5312 TERRACE DR, NEW WINDSOR, NY 12553-8484
(845) 637-5031
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
380710911
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/06/2023
Last updated
10/16/2023
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