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DESPINA PETSAGOURAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 754-5000
Mailing address
1 PARK AVE, NEW YORK, NY 10016-5802
(646) 754-5000

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
025838
NY
390200000X
Student in an Organized Health Care Education/Training Program
MA
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
05/31/2018
Last updated
09/19/2023
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