Individual provider · Type 1 NPI

Mary Quattlebaum, PhD

Clinical Psychologist · New York, NY

NPI number 1376408146 Active

Practice location

20 E 88th St Apt 1C
New York, NY 10128-0518

Mailing address

1207 N St NW Apt C
Washington, DC 20005-5108

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XP140153 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1376408146

Mary Quattlebaum, PhD's National Provider Identifier is 1376408146, issued on Dec 23, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Dec 23, 2025.