Individual
CORINE DEHGHANPISHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
348 13TH ST STE 203, PARK SLOPE CENTER FOR MENTAL HEALTH, BROOKLYN, NY 11215-6179
(718) 788-5101
Mailing address
325 N END AVE APT 17D, NEW YORK, NY 10282-1034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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