| Center For Personal Growth & Wellness | |
|
24 E 12th St 504 New York NY 10003-4513 | |
| (646) 418-1172 | |
| Not Available |
| Full Name | Center For Personal Growth & Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 24 E 12th St, New York, New York |
| Authorized Official Name and Position | Michael C Klein (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6464181172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Personal Growth & Wellness 24 E 12th St 504 New York NY 10003-4513 Ph: () - | Center For Personal Growth & Wellness 24 E 12th St 504 New York NY 10003-4513 Ph: (646) 418-1172 |
| NPI Number | 1063753853 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063753853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017776-1 (New York) | Primary |
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