Individual
JORDAN BATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1619 3RD AVE STE 1, NEW YORK, NY 10128-3459
(929) 274-1242
Mailing address
2130 ADAM CLAYTON POWELL JR BLVD APT 6G, NEW YORK, NY 10027-3746
(978) 502-4741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022832-1
NY
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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