Individual
PEGGY LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
580 BROADWAY, NEW YORK, NY 10012-3223
(212) 271-0216
Mailing address
461 W 150TH ST APT 3A, NEW YORK, NY 10031-2729
(630) 363-3517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006354
IL
103T00000X
Psychologist
Primary
023109
NY
Other
Enumeration date
07/14/2011
Last updated
03/01/2019
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