Individual
KATHERINE MANNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
293 WARREN ST, BROOKLYN, NY 11201-6411
(917) 400-3230
Mailing address
293 WARREN ST, BROOKLYN, NY 11201-6411
(917) 400-3230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024473-01
NY
Other
Enumeration date
09/14/2021
Last updated
09/29/2021
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