Individual
DR. JOANNE FESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
425 W 59TH ST, SUITE 6A, NEW YORK, NY 10019-8022
(212) 523-8060
(212) 523-6962
Mailing address
425 W 59TH ST, SUITE 6A, NEW YORK, NY 10019-8022
(212) 523-8060
(212) 523-6962
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014394-1
NY
103T00000X
Psychologist
014394-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
014394-1
NY
103TC0700X
Clinical Psychologist
014394-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02153657
—
NY
Enumeration date
12/18/2006
Last updated
01/03/2012
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