Individual
JARED O'GARRO-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 COLUMBUS CIR FL 6, NEW YORK, NY 10019-1412
(212) 326-8442
Mailing address
5 COLUMBUS CIR FL 6, NEW YORK, NY 10019-1412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NY
103TC0700X
Clinical Psychologist
Primary
023496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023496
NYS LICENSE
NY
01
—
35SI00724800
NJ LICENSE
NJ
01
—
4618
CT LICENSE
CT
Enumeration date
04/17/2018
Last updated
11/25/2024
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