Individual
EILEEN OWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 CONEY ISLAND AVE, BROOKLYN, NY 11230-4166
(914) 987-1694
Mailing address
1375 CONEY ISLAND AVENUE PMB 1035, BROOKLYN, NY 11230
(914) 987-1694
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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