Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 018783 | NY |
Y | 103TC0700X | Clinical Psychologist | 018783 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 018783 | NY |
NPI | 1023100245 |
---|---|
Provider Name | Dr. Clare Henn-Haase |
First Address | New York, NY 10016-6055 |
Second Address | New York, NY 10016-6055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 12/05/2011 |