Individual
DONNA BOOTH BRINDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
140 WEST 79TH STREET, #2A-1, NEW YORK, NY 10024
(917) 667-5197
Mailing address
2578 BROADWAY # 180, NEW YORK, NY 10025-5642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012534
NY
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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