Individual
DR. SAHANA MOODABAGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
215 E 50TH STREET, NEW YORK, NY 10022
(212) 308-3118
Mailing address
110 NILES AVE, LAKE FOREST, IL 60045-2951
(847) 226-7374
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
68-P132120-01
NY
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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