Individual
DR. MAUREEN GOUGH NALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-7890
(718) 283-6161
Mailing address
300 BROOKMERE CT, RIDGEWOOD, NJ 07450-2604
(201) 665-9818
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
017944-1
NY
103TC0700X
Clinical Psychologist
Primary
017944-1
NY
103TH0004X
Health Psychologist
017944-1
NY
103TP2701X
Group Psychotherapy Psychologist
017944-1
NY
Other
Enumeration date
02/04/2009
Last updated
02/05/2009
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