Individual
LINA PERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6 E 39TH ST STE 11H, NEW YORK, NY 10016-0112
(917) 902-4075
Mailing address
500 MANOR RIDGE RD, PELHAM, NY 10803-2318
(917) 902-4075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023712
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2017
Last updated
09/01/2021
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