Organization
RIVERGREEN PSYCHOLOGY PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK MATTHEW NICHOLS PHD (PRESIDENT)
(212) 379-6447
Entity
Organization
Contact information
Practice address
75 MAIDEN LN STE 323, NEW YORK, NY 10038-4810
(212) 379-6447
Mailing address
8 N FRONT ST, KINGSTON, NY 12401-3814
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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