Individual
DR. MAYOWA OBASAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
501 W 156TH ST APT 44, NEW YORK, NY 10032-7706
(516) 654-7339
Mailing address
501 W 156TH ST APT 44, NEW YORK, NY 10032-7706
(516) 654-7339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019045
NY
103TC0700X
Clinical Psychologist
019045
NY
103TF0000X
Family Psychologist
019045
NY
103TP2701X
Group Psychotherapy Psychologist
019045
NY
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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