Individual
VIVIAN MOUGIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
127 W 96TH ST., SUITE 1B, NEW YORK, NY 10025
(212) 749-3932
(646) 201-4401
Mailing address
127 W 96TH ST., SUITE 1B, NEW YORK, NY 10025
(212) 749-3932
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015916
NY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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