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Group Psychotherapy Psychologist · NEW YORK, NY

Organization Active NPI 1194479758

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Group Psychotherapy Psychologist103TP2701X
Social Worker104100000X
Clinical Social Worker1041C0700X
Case Management Agency251B00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.