Individual
DR. MEDEA MERRITT ELVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
215 W 88TH ST, #1C, NEW YORK, NY 10024-2321
(347) 465-7615
Mailing address
215 W 88TH ST, #1C, NEW YORK, NY 10024-2321
(347) 465-7615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 019173
NY
Other
Enumeration date
09/22/2010
Last updated
11/23/2011
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