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Individual

MARTHE GRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
910 W END AVE, 1C, NEW YORK, NY 10025-3533
(212) 851-8100
(212) 932-0964
Mailing address
530 W 236TH ST, 5P, BRONX, NY 10463-1748
(718) 548-9756

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14737
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02495994
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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