Individual
JACQUELINE HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(914) 719-6979
Mailing address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(914) 719-6979
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023830
NY
Other
Enumeration date
06/01/2015
Last updated
09/14/2020
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