Individual
CAROLE A SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
23 W 73RD ST, SUITE 101, NEW YORK, NY 10023-3104
(917) 282-8461
Mailing address
151 INWOOD AVE, MONTCLAIR, NJ 07043-1906
(917) 297-6618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016793
NY
Other
Enumeration date
07/26/2006
Last updated
07/10/2012
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