Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1891067377 |
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| LBN Legal business name | INNOVATIVE CAREER CENTER LLC | ||||||||
| Authorized official | ROSA LAVERGNE - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/31/2012 | ||||||||
| Last updated | 01/31/2012 - About 14 years ago | ||||||||
| Identifiers |
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| ROBERT A SELIGSON, PhD 210 WEST 16TH ST NEW YORK, NY |
| TAMAR M EPSTEIN KAYE, PSY.D. 80 EAST 11TH ST. NEW YORK, NY |
| RANDI TORSTENSON, PSY.D. 67 IRVING PLACE NEW YORK, NY |
| KRISTINA PILLMEIER, PSY.D. 307 SEVENTH AVENUE NEW YORK, NY |
| KATHLEEN BOHOMEY, PHD 1430 BROADWAY NEW YORK, NY |
| BARBARA J PETRATOS, MS DSW LCSW 104 E 40TH ST NEW YORK, NY |
| AILEEN CLARK, PhD 250 WEST ST NEW YORK, NY |
| LISA PASCH, PSY.D. 1270 AVENUE OF THE AMERICAS NEW YORK, NY |
| ASUNCION NERI CANDELARIA, LCSW 57 ST MARKS PLACE NEW YORK, NY |
| ANAT N TRARBACH, PhD 211 W 56TH ST, #25G NEW YORK, NY |