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Individual

DR. ALANNE BAERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
113 UNIVERSITY PL, SUITE 1017, NEW YORK, NY 10003-4527
(212) 253-5926
Mailing address
113 UNIVERSITY PL, SUITE 1017, NEW YORK, NY 10003-4527
(212) 253-5926

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013788
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233879
MHN PIN
NY
01
9139935
PHCS
NY
01
S13788-5
WORKERS' COMPENSATION
NY
Enumeration date
02/11/2007
Last updated
07/08/2007
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