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Individual
DR. SUJATHA SUBRAMANIAN
Active
Individual
DR. SUJATHA SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
014199-1
NY
103T00000X
Psychologist
014199-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
014199-1
NY
103TC0700X
Clinical Psychologist
Primary
014199-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
014199-1
NY
103TP0814X
Psychoanalysis Psychologist
014199-1
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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