Individual
MATTHEW R. EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
520 E. 70TH ST., STARR 607, NEW YORK, NY 10021
(212) 746-2623
(212) 746-5509
Mailing address
520 E. 70TH ST., STARR 607, NEW YORK, NY 10021
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016378
NY
Other
Enumeration date
10/11/2006
Last updated
09/14/2011
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