Individual
KIRA BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
297 KNOLLWOOD RD # 208, WHITE PLAINS, NY 10607-1833
(917) 697-5153
Mailing address
32 W GARDEN RD, LARCHMONT, NY 10538-1727
(917) 697-5153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015175
NY
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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