Individual
MS. CAROLE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 W 25TH ST, 10TH FLOOR, NEW YORK, NY 10010-2706
(917) 488-0596
Mailing address
41 RIVER TER, APT 904, NEW YORK, NY 10282-1113
(917) 488-0596
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000861
NY
Other
Enumeration date
02/06/2011
Last updated
08/16/2012
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