Individual
DR. IDA SUE BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
310 W END AVE # 16D, NEW YORK, NY 10023-8146
(301) 775-5885
Mailing address
310 W END AVE # 16D, NEW YORK, NY 10023-8146
(301) 757-5885
(301) 775-5885
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
02300
MD
103G00000X
Clinical Neuropsychologist
0810002315
VA
103TC0700X
Clinical Psychologist
Primary
02300
MD
103TC0700X
Clinical Psychologist
0810002315
VA
Other
Enumeration date
04/20/2007
Last updated
12/23/2024
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