Individual
EVANGELINE IRENE SICALIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
345 7TH AVE, SUITE 1602, NEW YORK, NY 10001-5006
(646) 552-0939
Mailing address
345 7TH AVE, SUITE 1602, NEW YORK, NY 10001-5006
(646) 552-0939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015727-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11518469
CAQH
—
Enumeration date
09/05/2007
Last updated
09/05/2007
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