Individual
SIMONE LAVERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
171 W 23RD ST APT 2C, NEW YORK, NY 10011-2460
(646) 320-1447
Mailing address
171 W 23RD ST APT 2C, NEW YORK, NY 10011-2460
(646) 320-1447
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001041
NY
Other
Enumeration date
02/15/2019
Last updated
06/08/2022
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