Individual
DR. MICHELLE JOAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
122 E 42ND ST STE 3200, NEW YORK, NY 10168-0002
(347) 292-1040
Mailing address
1178 BROADWAY, 3RD FLOOR, MAILBOX #46, NEW YORK, NY 10001-5666
(347) 292-1040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025254
NY
103T00000X
Psychologist
34048
CA
103TC0700X
Clinical Psychologist
025254
NY
103TC0700X
Clinical Psychologist
34048
CA
Other
Enumeration date
06/15/2020
Last updated
04/02/2024
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