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Organization

JILL THISTLETHWAITE, PSYCHOLOGY, PC

Active
Other names
Jill Thistlethwaite, PhD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL THISTLETHWAITE PHD (PRESIDENT)
(212) 982-5247
Entity
Organization

Contact information

Practice address
156 5TH AVE, SUITE 720, NEW YORK, NY 10010-7002
(212) 337-9596
Mailing address
144 E 7TH ST, SUITE C-12, NEW YORK, NY 10009-6203
(212) 982-5247

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007451
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01132934
NY
Enumeration date
10/04/2007
Last updated
10/04/2007
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