Individual
LUZ ELAINE TOWNS MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
105 PAYSON AVE 1ST FL, NEW YORK, NY 10034
(212) 942-2695
(212) 942-2695
Mailing address
105 PAYSON AVE 1ST FL, NEW YORK, NY 10034
(212) 942-2695
(212) 942-2695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8480
NY
103TF0200X
Forensic Psychologist
8480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147141
VALUE OPTIONS
NY
Enumeration date
01/25/2007
Last updated
09/11/2025
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