Individual
ALEX L. PIETERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
925 BROADWAY, ALBANY, NY 12207-1306
(301) 523-6031
Mailing address
38 N ALLEN ST, ALBANY, NY 12203-1633
(301) 523-6031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018552-1
NY
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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