Individual
DR. DOUGLAS MENNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
50 LEXINGTON AVE APT 25H, NEW YORK, NY 10010-2933
(646) 554-4977
Mailing address
50 LEXINGTON AVE APT 25H, NEW YORK, NY 10010-2933
(646) 554-4977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015664-1
NY
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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