Individual
MS. ELIZABETH R MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
3736 HENRY HUDSON PKWY, SUITE 207, BRONX, NY 10463-1502
(718) 543-1262
Mailing address
4555 HENRY HUDSON PARKWAY, APT 1410, BRONX, NY 10471
(646) 474-7169
(718) 796-0715
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
047952R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213592357
UBH
NY
01
—
739440
AETNA
NY
Enumeration date
11/01/2006
Last updated
10/17/2012
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