Individual
DR. COURTNEY ANNE DE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
595 GERARD AVE, NEW YORK CITY CHILDREN'S CENTER- BRONX CAMPUS, BRONX, NY 10451-5239
(718) 742-6185
(718) 742-6016
Mailing address
595 GERARD AVE, NEW YORK CITY CHILDREN'S CENTER- BRONX CAMPUS, BRONX, NY 10451-5239
(718) 742-6185
(718) 742-6016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019267
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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