Individual
ENITAN TEMITAYO MARCELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 BRISTOL ST, BROOKLYN, NY 11212-6014
(718) 207-9884
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-5270
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
026012
NY
103T00000X
Psychologist
026012
NY
Other
Enumeration date
07/10/2019
Last updated
09/15/2025
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