Individual
DR. CAROL SUSAN MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 E 69TH ST APT 1A, NEW YORK, NY 10021-5437
(212) 249-5105
Mailing address
205 E 69TH ST APT 1A, NEW YORK, NY 10021-5437
(212) 249-5105
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
007051
NY
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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