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Organization

BRAND THERAPY PSYCHOLOGICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JURACI MARIA LOPES DA SILVA PHD (PRESIDENT)
(917) 903-5067
Entity
Organization

Contact information

Practice address
50 WEST 39TH ST, SUITE 305, NEW YORK, NY 10018
(917) 677-9070
(917) 725-8044
Mailing address
50 WEST 39TH ST, SUITE 305, NEW YORK, NY 10018
(917) 677-9070
(917) 725-8044

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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