Individual
DR. CLEDICIANNE DORVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 RIVERSIDE AVE, TRENTON, NJ 08618-5318
(609) 393-1166
Mailing address
120 ROBERTSON AVE, MORRISVILLE, PA 19067-2447
(609) 532-0005
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00522100
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017367
PA
103TS0200X
School Psychologist
692206
NJ
Other
Enumeration date
11/27/2013
Last updated
02/08/2014
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