NPI 1003100512

Laurel Jarvis, PHD

Practitioner Clinical Psychologist Fort Drum, NY

Practice location

Address: 11050 Mount Belvedere Blvd Behavioral Health Department, Meddac, Fort Drum, NY 13602-5438
Phone: (315) 772-4850
Mailing address: 15980 County Route 181, Clayton, NY 13624-3108

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810002101 (VA)

Other Psychologist providers in New York →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 025329 (NY)

Registry record

NPI: 1003100512
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2011
Record last updated: 4 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.