Individual
DR. JED A LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
171 CLERMONT AVE, APT. #6O, BROOKLYN, NY 11205-3316
(917) 582-9020
Mailing address
171 CLERMONT AVE, APT. #6O, BROOKLYN, NY 11205-3316
(917) 582-9020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P84069
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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