Individual
DR. CAROLYN ANN LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 W 86TH ST, SUITE 1AA, NEW YORK, NY 10024-3603
(646) 660-0884
(646) 304-6804
Mailing address
590 W END AVE, APT. 2A, NEW YORK, NY 10024-1722
(646) 660-0884
(646) 304-6804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017934
NY
Other
Enumeration date
02/23/2009
Last updated
04/17/2013
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