| NPI | 1346967411 |
|---|---|
| Doing Business As | MODERN PSYCHE |
| Entity Type | Organization |
| Authorized Contact | LAURA PANTALEO Clinical Psychologist 914-260-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2024-11-11 |