Individual
JANUARY MASSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 10TH AVENUE, 8G-45, NEW YORK, NY 10019
(212) 523-5825
(212) 523-6494
Mailing address
1000 10TH AVENUE, 8G-45, NEW YORK, NY 10019
(212) 523-5825
(212) 523-6494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019588
NY
103TC0700X
Clinical Psychologist
019588
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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