Individual
YESSENIA ESTHER MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-1712
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-1712
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
023033
NY
Other
Enumeration date
03/12/2019
Last updated
03/10/2021
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