Individual provider · Type 1 NPI
Jane Valetchikov, PSY.D
Student in an Organized Health Care Education/Training Program · Syracuse, NY
NPI number
1760142798
Active
Practice location
620 Madison St
Syracuse, NY 13210-2319
Mailing address
136 E Genesee St Apt 501
Syracuse, NY 13202-1456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1760142798
Jane Valetchikov, PSY.D's National Provider Identifier is 1760142798, issued on Dec 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 17, 2021.