Individual
DR. BETHANY MAIRE OWENS RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
802 9TH AVE STE B, NEW YORK, NY 10019-5635
(844) 263-0400
Mailing address
3391 VERBENA LN, MACEDON, NY 14502-9209
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026886
NY
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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