Individual
DR. JUDITH D WALLACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 W 70TH ST, NEW YORK, NY 10023-4502
(212) 769-2081
Mailing address
3 W 70TH ST, NEW YORK, NY 10023-4502
(212) 769-2081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006792-1
NY
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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