Individual
JYOTSNA VASUDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HAZEL LANE, SUITE 300, SEWICKLEY, PA 15143
(412) 749-7330
(412) 749-7339
Mailing address
5706 HOBART ST, PITTSBURGH, PA 15217-2118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007746L
PA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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