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Individual

DR. MELISSA LEE ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
445 PARK AVE, CHILD MIND INSTITUTE, NEW YORK, NY 10022-2606
(646) 625-4360
(646) 625-4352
Mailing address
445 PARK AVENUE, CHILD MIND INSTITUTE, NEW YORK, NY 10022
(646) 625-4360
(646) 625-4352

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
019466
NY
103TC0700X
Clinical Psychologist
019466
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
019466
NY

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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