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Individual

DR. GUDRUN MATILDE OPITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
350 CENTRAL PARK W, 1B, NEW YORK, NY 10025-6547
(212) 844-9604
(212) 543-5163
Mailing address
350 CENTRAL PARK W, 1B, NEW YORK, NY 10025-6547
(212) 844-9604
(212) 543-5163

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
017297
NY
103TA0700X
Adult Development & Aging Psychologist
017297
NY
103TC0700X
Clinical Psychologist
Primary
017297
NY
103TC2200X
Clinical Child & Adolescent Psychologist
017297
NY

Other

Enumeration date
09/07/2009
Last updated
09/07/2009
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