Individual
DR. LINDA MAYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
127 W 96TH ST, 12J, NEW YORK, NY 10025-6427
(212) 865-4212
(212) 932-0919
Mailing address
127 W 96TH ST, NEW YORK, NY 10025-6427
(212) 865-4212
(212) 932-0919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
005401
NY
103TC0700X
Clinical Psychologist
005401
NY
103TC2200X
Clinical Child & Adolescent Psychologist
005401
NY
103TP0814X
Psychoanalysis Psychologist
Primary
005401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098443
GHI ID #
NY
01
—
146910
VALUE OPTIONS ID #
NY
Enumeration date
01/26/2007
Last updated
08/04/2015
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