Individual
LAURA BERSSENBRUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
445 PARK AVE, NEW YORK, NY 10022-2606
(646) 625-4255
Mailing address
445 PARK AVE, NEW YORK, NY 10022-2606
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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