Individual
MS. ANNALISA BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
220 5TH AVE RM 802, NEW YORK, NY 10001-7721
(917) 655-4924
Mailing address
220 5TH AVE RM 802, NEW YORK, NY 10001-7721
(917) 655-4924
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001035
NY
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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