Organization
DR. TULSA KNOX PSYCHOLOGIAL SERVICES, PLLC
Active
Other names
Tulsa Knox
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TULSA KNOX PSY.D (OWNER)
(845) 702-8764
Entity
Organization
Contact information
Practice address
25 8TH AVE STE B, BROOKLYN, NY 11217-3755
(845) 702-8764
Mailing address
124 RITCH AVE W APT A303, GREENWICH, CT 06830-6965
(845) 702-8764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003748
STATE OF CT
CT
01
—
021220
NY STATE
NY
Enumeration date
06/17/2022
Last updated
06/17/2022
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