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Individual

MARISSA FAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
825 SEVENTH AVE FL 6, NEW YORK, NY 10019-6014
(646) 352-9011
(917) 464-3662
Mailing address
825 7TH AVE FL 6, NEW YORK, NY 10019-6014
(646) 352-9011
(917) 464-3662

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025277
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02850677
NY
Enumeration date
10/12/2022
Last updated
09/09/2024
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