Organization
LUBA NAKHUTINA COMPREHENSIVE PSYCHOLOGY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUBA NAKHUTINA PH.D. (OWNER/PRESIDENT)
(917) 470-1336
Entity
Organization
Contact information
Practice address
305 MADISON AVE STE 1060, NEW YORK, NY 10165-1060
(917) 470-1336
Mailing address
ONE GRAND CENTRAL PLACE, 305 MADISON AVENUE, SUITE 1060, NEW YORK, NY 10165
(917) 470-1336
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
06/14/2011
Last updated
01/12/2012
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