Ashley Brown Bullock
Psychologist, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1114320587
StatusActive
Last updated in NPPESOct 1, 2014
Details
- NPI
- 1114320587
- Entity type
- Individual (NPI-1)
- Name
- Ashley Brown Bullock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2014
- Last updated
- Oct 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 68 020490 | NY | Yes |
Practice location
276 5th AveSuite 307b
New York, NY 10001-4509
Phone 347-218-1289
Mailing address
1735 York AveApt 9f
New York, NY 10128-6855
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