Individual
DR. ANDREW CHARLES PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
86 SPRUCE ST, BLAUVELT, NY 10913-1921
(914) 246-8622
Mailing address
86 SPRUCE ST, BLAUVELT, NY 10913-1921
(914) 246-8622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NJ35SI00681100
NJ
103T00000X
Psychologist
PY 9076
FL
103TC0700X
Clinical Psychologist
NJ35SI00681100
NJ
103TC0700X
Clinical Psychologist
Primary
PY 9076
FL
103TH0004X
Health Psychologist
PY 9076
FL
Other
Enumeration date
05/13/2013
Last updated
12/24/2024
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