Individual
DR. JAN M MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
330 W 58TH ST, SUITE 607, NEW YORK, NY 10019-1827
(201) 693-6791
Mailing address
540 E 76TH ST, NEW YORK, NY 10021-3394
(201) 693-6791
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
012017-1
NY
103TC0700X
Clinical Psychologist
Primary
012017-1
NY
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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