Individual
ASHLEY BROWN BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 5TH AVE, SUITE 307B, NEW YORK, NY 10001-4509
(347) 218-1289
Mailing address
1735 YORK AVE, APT 9F, NEW YORK, NY 10128-6855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 020490
NY
Other
Enumeration date
09/30/2014
Last updated
10/01/2014
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