Individual
DIANE DUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(347) 970-6757
Mailing address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68-P126157-01
NY
Other
Enumeration date
07/13/2019
Last updated
09/12/2024
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