Individual
DR. ASHA VARDARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 WEST ST, SUITE 26E, NEW YORK, NY 10004-1094
(646) 525-9671
Mailing address
10 WEST ST, SUITE 26E, NEW YORK, NY 10004-1094
(646) 525-9671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018477
NY
Other
Enumeration date
03/24/2010
Last updated
06/25/2013
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