Individual
MARISSA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(614) 425-4496
Mailing address
94 HAUXHURST AVE, WEEHAWKEN, NJ 07086-6837
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001010-1
NY
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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