Individual
DR. JULIE A THYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 W KINGSBRIDGE RD, JAMES J PETERS VAMC, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
222 E 19TH ST, APARTMENT 8C, NEW YORK, NY 10003-2607
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
017777
NY
Other
Enumeration date
11/27/2007
Last updated
12/08/2008
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