Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 021505 | NY |
NPI | 1083146849 |
---|---|
Provider Name | Laura Paret |
First Address | New York, NY 10001-7470 |
Second Address | New York, NY 10001-7470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2017 |
Last Update Date | 09/01/2021 |