Individual
DR. MONTINIQUE DENICE MCEACHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3828 LANCASTER AVE FL 1, PHILADELPHIA, PA 19104-2355
(315) 443-3023
Mailing address
225 LORRAINE AVE APT 3, SYRACUSE, NY 13210-3257
(315) 443-3023
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001720
NY
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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