Individual
MELINDA CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
156 W 56TH ST STE 1804, NEW YORK, NY 10019-3878
(212) 851-8100
(212) 537-0102
Mailing address
1715 LEXINGTON AVE APT 3, NEW YORK, NY 10029-3915
(917) 345-3897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024774
NY
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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