JOHN L. THEODORE

NEW YORK, NY
NPI1639396641
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  68 017120)
Enumeration Date2007-04-19
Last Update Date2010-12-21
Business Address
Dr. JOHN L. THEODORE Ph.D.
412 AVENUE OF THE AMERICAS SUITE 413
NEW YORK, NY 10011-8409
Phone number: 646-239-7774
Mailing Address
Dr. JOHN L. THEODORE Ph.D.
412 AVENUE OF THE AMERICAS SUITE 413
NEW YORK, NY 10011-8409
Phone number: 646-239-7774