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Individual

DR. RYAN FLETCHER BIRCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D., M.A.

Contact information

Practice address
329 E 62ND ST, NEW YORK, NY 10065-7769
(212) 838-4333
Mailing address
324 7TH AVE APT 3F, BROOKLYN, NY 11215-4140
(415) 233-1131

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0000X
Family Psychologist
103TF0200X
Forensic Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP0814X
Psychoanalysis Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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