Individual
DR. MICHELLE CARYN JASPER-BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 N BROADWAY STE 1D, WHITE PLAINS, NY 10601-2211
(917) 250-8943
Mailing address
3515 HENRY HUDSON PKWY APT 8F, BRONX, NY 10463-1333
(917) 250-8943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016533-01
NY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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