Individual
BERRELL MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
180 WEST HOUSTON STREET, 1E, NEW YORK, NY 10014
(646) 498-5420
(212) 228-2146
Mailing address
180 WEST HOUSTON STREET, 1E, NEW YORK, NY 10014
(646) 498-5420
(212) 228-2146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7352
PSYCHOLOGIST LICENSE
NY
Enumeration date
05/22/2007
Last updated
07/08/2007
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