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Individual

ELLEN B. SIMPAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
14 E 4TH ST, SUITE 401, NEW YORK, NY 10012-1155
(212) 254-6028
(718) 788-4077
Mailing address
307 11TH ST, BROOKLYN, NY 11215-3910
(718) 788-4077
(718) 788-4077

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14505 - 01
NY

Other

Enumeration date
10/21/2006
Last updated
07/08/2007
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