Individual
LEAH BAHADOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(646) 653-3303
Mailing address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(646) 653-3303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022433
NY
103TC0700X
Clinical Psychologist
P99778
NY
Other
Enumeration date
07/23/2015
Last updated
12/06/2022
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