Individual
DR. ELIZABETH KANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PARK AVE APT 1G, NEW YORK, NY 10128-1713
(212) 722-3358
Mailing address
1199 PARK AVE APT 1G, NEW YORK, NY 10128-1713
(212) 722-3358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015147
NY
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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