Dr. Laurel Jarvis
Clinical Psychologist
11050 Mount Belvedere Blvd Behavioral Health Department, Meddac
Fort Drum
, New York 13602-5438
Dr. Laurel Jarvis
Clinical Psychologist
11050 Mount Belvedere Blvd Behavioral Health Department, Meddac
Fort Drum
, New York 13602-5438
(202) 270-8988
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Laurel Jarvis
- 32537 Webster Tract
- Theresa, NY
- Zip : 13691-3207
- Phone : (202) 270-8988
Second Address
- Dr. Laurel Jarvis
- 11050 Mount Belvedere Blvd Behavioral Health Department, Meddac
- Fort Drum, NY
- Zip : 13602-5438
- Phone : (315) 772-4850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 0810002101 | VA |
| Y | 103TC0700X | Clinical Psychologist | 0810002101 | VA |
National Provider Identifier
| NPI | 1003100512 |
|---|---|
| Provider Name | Dr. Laurel Jarvis |
| First Address | Theresa, NY 13691-3207 |
| Second Address | Fort Drum, NY 13602-5438 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.