Individual
DR. ELLEN MARIE RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. PSYCHOLOGY
Contact information
Practice address
13719 14TH AVE, COLLEGE POINT, NY 11356-2011
(212) 838-3420
(212) 208-2474
Mailing address
10705 70TH AVE, LOWER LEVEL, FOREST HILLS, NY 11375-4300
(212) 838-3420
(212) 208-2474
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
006082
NY
103TC0700X
Clinical Psychologist
Primary
006082
NY
Other
Enumeration date
02/10/2007
Last updated
01/22/2014
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