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Individual

MARGARET EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
156 W 86TH ST APT 1C, NEW YORK, NY 10024-4029
(646) 894-0094
Mailing address
6160 DELAFIELD AVE, BRONX, NY 10471-1005
(646) 894-0094

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8377
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01414662
NY
Enumeration date
07/27/2006
Last updated
02/15/2017
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