Individual
DEVIKA JUTAGIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-0100
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022962
NY
Other
Enumeration date
03/08/2016
Last updated
05/26/2022
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