Individual
DR. COURTNEY DELEASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
928 BROADWAY STE 1100, NEW YORK, NY 10010-8115
(201) 274-6686
Mailing address
928 BROADWAY STE 1100, NEW YORK, NY 10010-8115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023138
NY
Other
Enumeration date
03/22/2019
Last updated
05/17/2019
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