Individual
LUBA NAKHUTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
305 MADISON AVE, SUITE 1060, NEW YORK, NY 10165-0006
(917) 740-8195
(212) 297-0536
Mailing address
880 W 181ST ST, 5A, NEW YORK, NY 10033-4469
(917) 740-8195
(212) 297-0536
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
017696-1
NY
103TC0700X
Clinical Psychologist
017696-1
NY
Other
Enumeration date
05/28/2009
Last updated
03/12/2016
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