Individual
DR. MARLA RACHEL BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
350 CENTRAL PARK W, SUITE 1-Q, NEW YORK, NY 10025-6547
(917) 331-4809
(212) 666-3185
Mailing address
350 CENTRAL PARK W, SUITE 1-Q, NEW YORK, NY 10025-6547
(917) 331-4809
(212) 666-3185
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
015586
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015586
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
015586
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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