Individual
DR. CHRISTA D. LABOULIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
275 CENTRAL PARK W APT 1A, NEW YORK, NY 10024-3035
(917) 960-7744
Mailing address
275 CENTRAL PARK W APT 1A, NEW YORK, NY 10024-3035
(917) 960-7744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21453
NY
103TB0200X
Cognitive & Behavioral Psychologist
21453
NY
103TC0700X
Clinical Psychologist
21453
NY
103TC2200X
Clinical Child & Adolescent Psychologist
21453
NY
Other
Enumeration date
04/08/2016
Last updated
02/02/2021
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