Individual
DR. JACLYN M LEVY-VINOCUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
14 VANDERVENTER AVE STE 103, PORT WASHINGTON, NY 11050-3757
(516) 271-2644
Mailing address
611 BROADWAY, NEW YORK, NY 10012-2608
(516) 447-0733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023209
NY
103TB0200X
Cognitive & Behavioral Psychologist
023209
NY
103TC0700X
Clinical Psychologist
023209
NY
103TC2200X
Clinical Child & Adolescent Psychologist
023209
NY
103TF0000X
Family Psychologist
023209
NY
103TP2701X
Group Psychotherapy Psychologist
023209
NY
Other
Enumeration date
05/09/2019
Last updated
04/13/2021
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