Individual
DR. LINDA ELEANOR MARSANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
118 8TH AVE APT 9E, BROOKLYN, NY 11215-1528
(718) 636-1421
Mailing address
118 8TH AVE APT 9E, BROOKLYN, NY 11215-1528
(718) 636-1421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012575
NY
103TC1900X
Counseling Psychologist
Primary
012575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01639770
—
NY
01
—
P773799
OXFORD
NY
Enumeration date
11/15/2006
Last updated
09/19/2022
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