Individual
LAURA SHARI OLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
136 E 57TH ST, SUITE 1101, NEW YORK, NY 10022-2707
(212) 308-2440
Mailing address
136 E 57TH ST, SUITE 1101, NEW YORK, NY 10022-2707
(212) 308-2440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
012685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012685
NEW YORK STATE LICENSE
NY
Enumeration date
12/19/2007
Last updated
12/19/2007
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