Organization
JANET C WATERHOUSE CP PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET C WATERHOUSE (ORIGINAL MEMBER)
(917) 239-7792
Entity
Organization
Contact information
Practice address
315 W 57TH ST, SUITE 305, NEW YORK, NY 10019-3158
(917) 239-7792
Mailing address
186 RIVERSIDE DR, NEW YORK, NY 10024-1007
(917) 239-7792
(212) 721-5059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017956
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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