| Doctor Name: | DR. MARY JANE NOVI |
| NPI Number: | 1013996040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | PS006016L |
| Business Practice Address: | 12619 W Blue Bonnet Dr Sun City West, AZ - 853752514 |
| Business Phone Number: | 2152872116 |
| Business Fax Number: | |
| Mailing Address: | 12619 W Blue Bonnet Dr, SUN CITY WEST |
| State: | AZ |
| Postal Code: | 853752514 |
| Phone Number: | 2152872116 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS006016L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |