Individual
DR. JEFFREY MOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1051 RIVERSIDE DR UNIT 126, NEW YORK, NY 10032-1007
(646) 774-8654
Mailing address
119 W 72ND ST # 292, NEW YORK, NY 10023-3201
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
025432
NY
103T00000X
Psychologist
Primary
025432
NY
103TC0700X
Clinical Psychologist
025432
NY
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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