Individual
DR. INDIANA BUTTENWIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6 E 39TH ST, SUITE 1100, NEW YORK, NY 10016-0112
(646) 580-8866
Mailing address
6 E 39TH ST, SUITE 1100, NEW YORK, NY 10016-0112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021507
NY
103TC0700X
Clinical Psychologist
021507
NY
103TP2701X
Group Psychotherapy Psychologist
021507
NY
Other
Enumeration date
09/23/2016
Last updated
10/13/2016
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