Individual
JEANNE M. DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
156 W 56TH ST STE 1804, NEW YORK, NY 10019-3878
(212) 851-8100
(888) 977-2547
Mailing address
25-114 BARKER ST, MOUNT KISCO, NY 10549-1648
(914) 420-2395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01791877
—
NY
01
—
680009410
RAILROAD MEDICARE
NY
Enumeration date
07/27/2006
Last updated
12/13/2018
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