Individual
LAUREN MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
347 GRAND ST, BROOKLYN, NY 11211-4495
(929) 203-1624
Mailing address
347 GRAND ST, BROOKLYN, NY 11211-4495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P13577
NY
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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