Individual
LEEANN FOGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
41 MADISON AVE STE 2541, NEW YORK, NY 10010-2202
(646) 202-2612
(646) 349-9614
Mailing address
41 MADISON AVE STE 2541, NEW YORK, NY 10010-2202
(646) 202-2612
(646) 349-9614
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
04/27/2023
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