DR. Jodi N. Licht, PSY.D.
NPI #1669538757 in Little Neck, New York
Provider Information
- NPI Number
- 1669538757
- Entity Type
- Individual
- Name
- DR. Jodi N. Licht, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PSY.D.
- Enumeration Date
- Dec 31, 2006
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 25517 NORTHERN BLVD
- Address 2
- SUITE 2B
- City
- Little Neck
- State
- New York
- ZIP Code
- 11362-1453
- Phone
- (917) 364-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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