Individual
ALICIA MASCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
258 W 22ND ST, #2G, NEW YORK, NY 10011-2703
(929) 400-7123
Mailing address
258 W 22ND ST, #2G, NEW YORK, NY 10011-2703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020492
NY
Other
Enumeration date
12/25/2012
Last updated
07/18/2014
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