Individual
FREDERICK MUENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 974-0547
Mailing address
254 6TH AVE, APT 1, BROOKLYN, NY 11215-2103
(917) 532-0623
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
019504
NY
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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