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Contact Information

CHRISTA D LABOULIERE, PHD
275 CENTRAL PARK W APT 1A
NEW YORK, NY10024-3035
 Phone: 917-960-7744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHRISTA D LABOULIERE · (Female)

NPI Number 1144684739
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/08/2016
Last updated 02/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 21453
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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