Individual
DR. JAYCIE ELYSE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
PARK AVENUE MEDICAL ASSOCIATES, P.C., THREE BARKER AVENUE 4TH FLOOR, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Mailing address
PARK AVENUE MEDICAL ASSOCIATES, P.C., THREE BARKER AVENUE 4TH FLOOR, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015850-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02606866
—
NY
Enumeration date
07/11/2006
Last updated
01/31/2008
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