Individual
DR. MARLA J. HAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-1742
(212) 305-5445
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-1742
(212) 305-5445
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011790-1
NY
103T00000X
Psychologist
011790-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01577480
—
NY
Enumeration date
12/19/2006
Last updated
05/30/2012
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