Individual
HEIDI SUE DERUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
80 5TH AVE RM 1106, NEW YORK, NY 10011-8017
(917) 841-6419
Mailing address
193 E 7TH ST APT 3, NEW YORK, NY 10009-5930
(917) 841-6419
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001102
NY
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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