Individual
DR. JAMIE LYNN NAUHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D., P.C.
Contact information
Practice address
223 ROANOKE AVE, RIVERHEAD, NY 11901-2778
(631) 727-8270
(631) 369-9423
Mailing address
223 ROANOKE AVE, RIVERHEAD, NY 11901-2778
(631) 727-8270
(631) 369-9423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081842
VALUE OPTIONS PROVIDER #
NY
01
—
V3085
WELL CHOICE PROVIDER #
NY
Enumeration date
12/22/2006
Last updated
06/27/2008
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