Individual
MARY QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
20 E 88TH ST APT 1C, NEW YORK, NY 10128-0518
(917) 423-6701
Mailing address
1207 N ST NW APT C, WASHINGTON, DC 20005-5108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P140153
NY
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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