Individual
BETH DIVINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 691-1973
Mailing address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 691-1973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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