Individual
CARIN LEVINE EHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
275 7TH AVE RM 2501, NEW YORK, NY 10001-8400
(917) 743-1222
Mailing address
323 W 22ND ST, NEW YORK, NY 10011-2891
(917) 743-1222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013647-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013647-1
NEW YORK STATE
NY
Enumeration date
10/29/2019
Last updated
10/29/2019
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