Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 021226 | NY |
NPI | 1063877512 |
---|---|
Provider Name | Joyce Dweck |
First Address | New York, NY 10010-1640 |
Second Address | New York, NY 10010-1640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2015 |
Last Update Date | 29/12/2015 |