Individual
DR. GABRIELA KATTAN KHAZANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
125 W 72ND ST STE 4R&5R, NEW YORK, NY 10023-3278
(925) 967-6534
Mailing address
640 W 239TH ST APT 1E, BRONX, NY 10463-1239
(925) 967-6534
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
026436
NY
103TB0200X
Cognitive & Behavioral Psychologist
PS019410
PA
103TC0700X
Clinical Psychologist
Primary
026436
NY
103TC0700X
Clinical Psychologist
PS019410
PA
Other
Enumeration date
02/06/2022
Last updated
08/05/2024
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