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Organization

INTEGRATIVE NEUROPSYCH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN FERRERA PHD (DIRECTOR)
(917) 300-8006
Entity
Organization

Contact information

Practice address
65 BROADWAY STE 812, NEW YORK, NY 10006-2503
(917) 300-8006
(917) 210-3184
Mailing address
65 BROADWAY STE 812, NEW YORK, NY 10006-2503
(917) 300-8006
(917) 210-3184

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
018945
NY
103TA0700X
Adult Development & Aging Psychologist
018945
NY
103TB0200X
Cognitive & Behavioral Psychologist
018945
NY
103TC0700X
Clinical Psychologist
Primary
018945
NY
103TC2200X
Clinical Child & Adolescent Psychologist
018945
NY
103TE1100X
Exercise & Sports Psychologist
018945
NY
103TR0400X
Rehabilitation Psychologist
018945
NY

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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