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Individual

DR. ALTHEA MADURAMENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
200 WILLOUGHBY AVENUE, 3RD FLOOR ISC BUILDING - COUNSELING SERVICES, BROOKLYN, NY 11205-3802
(718) 687-5654
Mailing address
200 WILLOUGHBY AVENUE, 3RD FLOOR ISC BUILDING ROOM 303, BROOKLYN, NY 11205-3802

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022039
NY
103TC0700X
Clinical Psychologist
022039
NY
103TC1900X
Counseling Psychologist
022039
NY

Other

Enumeration date
06/24/2021
Last updated
07/12/2021
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