Individual
DR. GINA FAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 S BROADWAY STE 486, WHITE PLAINS, NY 10601-4413
(914) 815-1617
Mailing address
75 S BROADWAY STE 486, WHITE PLAINS, NY 10601-4413
(914) 815-1617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018481
NY
103TC0700X
Clinical Psychologist
PSY22378
CA
Other
Enumeration date
01/29/2009
Last updated
06/06/2023
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