Individual
KATHLEEN LORRAINE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
345 E 102ND ST STE 215, NEW YORK, NY 10029-5615
(888) 702-0630
Mailing address
205 E 94TH ST APT 5FE, NEW YORK, NY 10128-3780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019628
NY
Other
Enumeration date
09/30/2024
Last updated
10/08/2024
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