Individual
PROF. JOSHUA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
240 E 38TH ST FL 18, NEW YORK, NY 10016-2708
(646) 501-7502
(646) 754-9593
Mailing address
240 E 38TH ST FL 18, NEW YORK, NY 10016-2708
(646) 501-7502
(646) 754-9593
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
014205
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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