Individual
JUSTINE ELIZABETH GERVACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-6763
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
11/27/2023
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