Individual
LYNN ELLEN PASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
348 W 20TH ST, NEW YORK, NY 10011-3302
(917) 826-1302
Mailing address
348 W 20TH ST, NEW YORK, NY 10011-3302
(917) 826-1302
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
007072
NY
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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