Individual
DR. JANE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19 W 34TH ST PH, NEW YORK, NY 10001-3006
(917) 991-4065
Mailing address
19 W 34TH ST PH, NEW YORK, NY 10001-3006
(917) 991-4065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009655-1
NY
Other
Enumeration date
03/08/2011
Last updated
11/07/2011
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