Individual
DR. JAN STEPHEN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
840 S BROOM ST, WILMINGTON, DE 19805-4245
(800) 819-1655
(800) 819-1655
Mailing address
4715 VIEWRIDGE AVE, STE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(800) 819-1655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000713
DE
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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