Psychotherapy Private Practice
Psychotherapy Private Practice provides Clinical Social Worker services in New York, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
166 Orchard St 6DNew York, NY 10002-2282 Not confirmed with CMS for 11 years — call before visiting
Phone: (617) 792-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 079342 (NY) |
|---|
Record details
| NPI number | 1518346733 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Midori Repp — Psychotherapist · (617) 792-0264 |
| NPI enumerated | May 20, 2015 |
| Last updated in NPPES | May 20, 2015 |
| Mailing address | 166 Orchard St, 6d, New York, NY 10002-2282 |
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