Individual
KIRSTEN CULLEN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
41 MADISON AVE, 2533, NEW YORK, NY 10010-2202
(503) 679-6760
Mailing address
41 MADISON AVE, 2533, NEW YORK, NY 10010-2202
(503) 679-6760
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
68018267
NY
Other
Enumeration date
12/11/2014
Last updated
11/21/2015
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