Individual
MARY KATHRYN PAVOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
(212) 305-5445
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
(212) 305-5445
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012994
NY
Other
Enumeration date
04/10/2006
Last updated
02/14/2018
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