Individual
JAMES CRAIG ANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
77 TROY RD, EAST GREENBUSH, NY 12061-1330
(518) 794-8902
Mailing address
PO BOX 79, NEW LEBANON, NY 12125-0079
(518) 794-8902
(518) 456-2361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007906
NY
Other
Enumeration date
12/19/2006
Last updated
10/18/2018
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