Individual
LAURA TABIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
306 E 96TH ST APT 4F, NEW YORK, NY 10128-3852
(954) 736-9303
Mailing address
306 E 96TH ST APT 4F, NEW YORK, NY 10128-3852
(954) 736-9303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024529
NY
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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