Individual
DR. MARY ELLEN CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
93 ORANGE TPKE, SLOATSBURG, NY 10974-1907
(914) 906-2965
Mailing address
93 ORANGE TPKE, SLOATSBURG, NY 10974-1907
(914) 906-2965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017001
NY
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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