Individual
REBECCA GAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
505 IRVING AVE, SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE, NY 13210-1718
(315) 464-2320
Mailing address
505 IRVING AVE, SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE, NY 13210-1718
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
021227
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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