Individual
JOHANNA SEMPLE HERWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 PARK AVE APT 1C, NEW YORK, NY 10021-4386
(212) 327-3624
Mailing address
1040 PARK AVE # 2J, NEW YORK, NY 10028-1032
(212) 410-6845
(212) 828-8732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16658
NY
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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