Individual
DR. GHISLAINE BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
242 W 101 STREET, NEW YORK, NY 10025-4971
(212) 222-5265
(646) 383-8505
Mailing address
242 W 101 STREET, NEW YORK, NY 10025-4971
(212) 222-5265
(646) 383-8505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6889
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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