| Doctor Name: | DR. JAYA SAVE-MUNDRA |
| NPI Number: | 1669644332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 015774 |
| Business Practice Address: | 1110 Route 55 Suite 201 Lagrangeville, NY - 125405045 |
| Business Phone Number: | 5856159146 |
| Business Fax Number: | 5853340208 |
| Mailing Address: | 19 Thames Rd, POUGHKEEPSIE |
| State: | NY |
| Postal Code: | 126036832 |
| Phone Number: | 5856159146 |
| Fax Number: | 5853340208 |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 06/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 015774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |