Individual
STEPHANIE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(646) 754-5000
Mailing address
1645 E 53RD ST, BROOKLYN, NY 11234-3915
(347) 822-3551
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/12/2023
Last updated
01/05/2024
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