Individual
MADELEINE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
99 FORT WASHINGTON AVE, NEW YORK, NY 10032-4655
(646) 317-5718
Mailing address
99 FORT WASHINGTON AVE, NEW YORK, NY 10032-4655
(646) 317-5718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
023434
NY
Other
Enumeration date
05/21/2015
Last updated
10/06/2019
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