Individual
PARKER HAZZARD DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 W 13TH ST, NEW YORK, NY 10011-7940
(917) 324-0833
Mailing address
19A GARDEN PL # A, BROOKLYN, NY 11201-4659
(917) 324-0833
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001027
NY
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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