Individual
DR. JOAN WERTHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 3RD AVE, #265, NEW YORK, NY 10016-1901
(212) 736-2177
Mailing address
15 W 43RD ST, #43, NEW YORK, NY 10036-7402
(212) 736-2177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934809
—
NY
Enumeration date
06/30/2006
Last updated
04/03/2017
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