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Organization
SURBAUGH PSYCHOLOGICAL SERVICES LLC
Active
Organization
SURBAUGH PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SURBAUGH PSY.D. (PSYCHOLOGIST AND OWNER)
(917) 974-6733
Entity
Organization
Contact information
Practice address
31 WASHINGTON SQ W, SUITE 5R, NEW YORK, NY 10011-9126
(917) 974-6733
Mailing address
31 WASHINGTON SQ W, SUITE 5R, NEW YORK, NY 10011-9126
(917) 974-6733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017851
NY
Other
Enumeration date
08/01/2012
Last updated
11/07/2012
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