Individual
DR. JAMES ALBERT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PHD
Contact information
Practice address
7 LOGWYNN LN, CORTLANDT MANOR, NY 10567-1709
(646) 667-0402
Mailing address
7 LOGWYNN LN, CORTLANDT MANOR, NY 10567-1709
(646) 667-0402
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0204741
NY
1041C0700X
Clinical Social Worker
73 080818
NY
Other
Enumeration date
11/15/2010
Last updated
09/03/2015
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