Doctor Name: | MRS. MIRIAM R NETZER |
NPI Number: | 1063541951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD CLINICAL PSYCHOL |
License Number: | 0038881 |
Business Practice Address: | 108 38 69 Road Forest Hills Nyc, NY - 113753843 |
Business Phone Number: | 7182686403 |
Business Fax Number: | |
Mailing Address: | 108 38 69 Road, Forest Hills NYC |
State: | NY |
Postal Code: | 113753843 |
Phone Number: | 7182686403 |
Fax Number: | 7183800561 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0038881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |