Individual
MALLORY STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 RIVERSIDE DR, SUITE 730, NEW YORK, NY 10115-0002
(212) 280-4473
(212) 280-5384
Mailing address
475 RIVERSIDE DR, SUITE 730, NEW YORK, NY 10115-0002
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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