Individual
DR. ELIZABETH ANN JAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12 W 9TH ST, SUITE 1B-2, NEW YORK, NY 10011-8905
(347) 927-1657
Mailing address
12 W 9TH ST, SUITE 1B-2, NEW YORK, NY 10011-8905
(347) 927-1657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021075
NY
103TC0700X
Clinical Psychologist
071008475
IL
Other
Enumeration date
12/10/2012
Last updated
05/04/2016
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