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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.