Individual
DR. KATHLEEN BACON-GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
143 W 95TH ST, NEW YORK, NY 10025-6645
(212) 316-2025
Mailing address
143 W 95TH ST, NEW YORK, NY 10025-6645
(212) 316-2025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008522-1
NY
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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