Individual
ERICA ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W 13TH ST, NEW YORK, NY 10011-7940
(845) 430-9184
Mailing address
40 W 13TH ST, NEW YORK, NY 10011-7940
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001075
NY
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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