Individual
DR. EMILY BONNEVILLE OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3051 36TH ST, FIRST FLOOR, ASTORIA, NY 11103-4704
(301) 641-7878
Mailing address
3051 36TH ST, FIRST FLOOR, ASTORIA, NY 11103-4704
(301) 641-7878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019841
NY
Other
Enumeration date
12/17/2012
Last updated
11/20/2014
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