Individual
BROOKE BAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W 165TH ST FL 6, NEW YORK, NY 10032-3724
(646) 317-1139
Mailing address
21 E 10TH ST, APT 5B, NEW YORK, NY 10003-5923
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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