Individual
DR. MARA WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
379 GATES AVE, BROOKLYN, NY 11216-1871
(917) 373-0700
Mailing address
379 GATES AVE, BROOKLYN, NY 11216-1871
(917) 373-0700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
019316
NY
103TC1900X
Counseling Psychologist
Primary
019316
NY
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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