Individual
DR. LATHA V SOORYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1428 MADISON AVE, DEPARTMENT OF PSYCHIATRY, BOX 1230, NEW YORK, NY 10029-6508
(212) 241-7250
(212) 241-5670
Mailing address
1428 MADISON AVE, DEPARTMENT OF PSYCHIATRY, BOX 1230, NEW YORK, NY 10029-6508
(212) 241-7250
(212) 241-5670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-02-0857
FL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0161410
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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