Individual
DR. LAURIE NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
939 8TH AVE, #508, NEW YORK, NY 10019-4264
(212) 586-3334
Mailing address
939 8TH AVE, #508, NEW YORK, NY 10019-4264
(212) 586-3334
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015236
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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