Individual
JAMES R BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W 57TH ST STE 410, NEW YORK, NY 10019-3147
(646) 285-8989
Mailing address
315 W 57TH ST STE 410, NEW YORK, NY 10019-3147
(646) 285-8989
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017272
NY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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