Individual
MATTHEW ALEXANDER SCULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(951) 444-0602
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023802
NY
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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