Individual
DR. ETHAN ROSS EHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
360 FURMAN ST APT 828, BROOKLYN, NY 11201-4721
(347) 820-1018
Mailing address
360 FURMAN ST APT 828, BROOKLYN, NY 11201-4721
(347) 820-1018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021750
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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