Individual
DR. LAURA VENUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
114 E 90TH ST, NEW YORK, NY 10128-1550
(212) 410-9651
Mailing address
1623 3RD AVE, 21F, NEW YORK, NY 10128-3638
(646) 831-6107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019914-1
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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