Individual
LAWRENCE HUGH BIRNBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 E 12TH ST, SUITE 502, NEW YORK, NY 10003-4513
(212) 260-6043
Mailing address
24 E 12TH ST, SUITE 502, NEW YORK, NY 10003-4513
(212) 260-6043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1044
CT
103TC0700X
Clinical Psychologist
Primary
6554
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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