Individual
SAMANTHA MALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
101 E 56TH ST, NEW YORK, NY 10022-2661
(212) 308-3118
Mailing address
154 W 70TH ST APT 8E, NEW YORK, NY 10023-4405
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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