Individual
LYNN MYRA PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W 86TH ST, NEW YORK, NY 10024-3120
(212) 580-3685
Mailing address
325 W 86TH ST, NEW YORK, NY 10024-3120
(212) 580-3685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00-7828
NY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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