Individual
DR. KRISTIN JOY CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
308 WEST 140TH STREET, #4, NEW YORK, NY 10030
(347) 879-0737
Mailing address
3959 BROADWAY, 6TH FL NORTH, PEDIATRIC PSYCHIATRY SCHOOL BASED MENTAL HEALTH, NEW YORK, NY 10030
(773) 307-5572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020024-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
020024
NY
Other
Enumeration date
10/05/2010
Last updated
10/01/2013
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