Individual
DR. MICHELLE MANUALA LE BOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
20 W 72ND ST, SUITE 1103, NEW YORK, NY 10023-4100
(212) 724-8767
Mailing address
40 W 77TH ST, APT #7F, NEW YORK, NY 10024-5128
(212) 724-8767
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000534-1
NY
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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