Individual
MRS. MARY KIM BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
149 EAST 78TH STREET, NEW YORK, NY 10021
(212) 879-4900
(212) 744-0206
Mailing address
149 EAST 78TH STREET, NEW YORK, NY 10021
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014736-1
NY
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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