Individual
DR. FAITH BETHELARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
220 E 72ND ST, SUITE 27E, NEW YORK, NY 10021-4528
(212) 737-6063
Mailing address
220 E 72ND ST, SUITE 27E, NEW YORK, NY 10021-4528
(212) 737-6063
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014561
NY
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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