Individual
DR. JEANNE M SEVELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
722 W 168TH ST, NEW YORK, NY 10032-3727
(646) 774-6931
Mailing address
327 W 11TH ST APT 2E, NEW YORK, NY 10014-6221
(510) 703-5990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025700
NY
103TC0700X
Clinical Psychologist
PSY26349
CA
Other
Enumeration date
08/31/2022
Last updated
05/22/2023
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