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Individual

DR. OLUBUKONLA KOLAWOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
270 LAFAYETTE ST, SUITE 1008, NEW YORK, NY 10012-3311
(516) 424-5653
Mailing address
105 W 29TH ST APT 29D, NEW YORK, NY 10001-5734
(516) 424-5653

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
018800
NY
103TC0700X
Clinical Psychologist
018800
NY

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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