West-Gavin, Jennifer

West-Gavin, Jennifer is an individual health care provider with primary practice located at 2301 E Evesham Rd Ste 206 , Voorhees NJ 08043. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. West-Gavin, Jennifer can be contacted via phone (856) 472-6092.

Contact Information

Primary practice address
2301 E Evesham Rd Ste 206 Voorhees NJ 08043
Phone: (856) 472-6092
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00589700 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1063913176
LBN Legal business name West-Gavin, Jennifer
Credentials PSY. D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2018
Last updated Jan 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063913176 NPPES
Other 1063913176 HORIZON

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