Individual
PHILIP BOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW ACSW
Contact information
Practice address
817 BROADWAY, 9TH FL., ROOM 2, NEW YORK, NY 10003
(917) 868-7405
Mailing address
1613 GREEN ST, APT C, PHILADELPHIA, PA 19130
(917) 868-7405
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
R0505141
NY
Other
Enumeration date
05/16/2007
Last updated
01/29/2009
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