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Individual

EMILY BECKER-WEIDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
300 E 75TH ST, 17K, NEW YORK, NY 10021-3375
(215) 840-0669
Mailing address
300 E 75TH ST, 17K, NEW YORK, NY 10021-3375
(215) 840-0669

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
68019701
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
68019701
NY

Other

Enumeration date
12/25/2012
Last updated
12/25/2012
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