Individual
DR. MATTHEW JACK CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
303 FIFTH AVENUE, SUITE 1108, NEW YORK, NY 10016
(347) 827-0079
Mailing address
303 FIFTH AVENUE, SUITE 1108, NEW YORK, NY 10016
(347) 827-0079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020681
NY
Other
Enumeration date
02/25/2013
Last updated
06/10/2019
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