| NPI | 1003241225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE L. GANN President 212-860-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 7966) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 7966) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 7966) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |