Individual
MELISSA DIVARIS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 W 36TH ST, FIFTH FLOOR, SUITE B, NEW YORK, NY 10018-7907
(212) 330-6867
Mailing address
29 W 36TH ST, FIFTH FLOOR, SUITE B, NEW YORK, NY 10018-7907
(212) 330-6867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000806
NY
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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