Individual
RAVITAL LABUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1008 DECATUR ST APT 4A, BROOKLYN, NY 11207-2171
(929) 374-3763
Mailing address
1008 DECATUR ST APT 4A, BROOKLYN, NY 11207-2171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025213
NY
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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