Individual
AYXA CALERO-BRECKHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
285 W END AVE, SUITE 3Y, NEW YORK, NY 10023-2504
(347) 435-6498
(646) 476-9814
Mailing address
164 PAULIN BLVD, LEONIA, NJ 07605-1236
(201) 585-0757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018429-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018429-1
PSYCHOLOGIST LICENSE
NY
Enumeration date
06/23/2010
Last updated
06/04/2013
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