Individual
DR. MATTHEW H ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
341 E. 79TH ST., SUITE 202, NEW YORK, NY 10075
(646) 389-2268
Mailing address
341 E. 79TH ST., SUITE 202, NEW YORK, NY 10075
(646) 389-2268
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
021063
NY
Other
Enumeration date
10/10/2012
Last updated
11/29/2018
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