Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 014232 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 014232 | NY |
N | 103TF0000X | Family Psychologist | 014232 | NY |
NPI | 1053523373 |
---|---|
Provider Name | Dr. Caroline Seay Clauss-Ehlers |
First Address | New York, NY 10027-5236 |
Second Address | New York, NY 10027-5236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02265194 | (05) | NY |