Individual
DR. MICHELLE KESSOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-2660
(212) 579-8253
Mailing address
300 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-2660
(212) 579-8253
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
017033
NY
103T00000X
Psychologist
017033
NY
Other
Enumeration date
01/31/2007
Last updated
04/28/2009
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