Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 023993 | NY |
NPI | 1023611191 |
---|---|
Provider Name | Ranjana Srinivasan |
First Address | Morris Plains, NJ 07950-3112 |
Second Address | New York, NY 10010-5011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 19/11/2020 |