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Individual

JACK M SAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
245 5TH AVE RM 2205, NEW YORK, NY 10016-8728
(212) 889-8117
Mailing address
245 5TH AVE RM 2205, NEW YORK, NY 10016-8728
(212) 889-8117

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010898-1
NY

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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