Individual
ANNA CAITLENN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
116 E 124TH ST FL 2, NEW YORK, NY 10035-1924
(718) 484-1303
Mailing address
3705 30TH ST APT 501, LONG ISLAND CITY, NY 11101-2685
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P131422
NY
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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