Individual
ELIZABETH TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1133 BROADWAY STE 645, NEW YORK, NY 10010-8070
(212) 729-6034
Mailing address
1133 BROADWAY STE 645, NEW YORK, NY 10010-8070
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P107828
NY
Other
Enumeration date
12/04/2020
Last updated
03/28/2025
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