Individual provider · Type 1 NPI

Mayimuna Y. Pettiford, PhD

Clinical Psychologist · New York, NY

NPI number 1902158538 Active

Practice location

214 W Houston St
New York, NY 10014-4846

Call (212) 337-9400 Map

Mailing address

303 Merrick Rd, Suite 204
Lynbrook, NY 11563-2501

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X019680 (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 1902158538

Mayimuna Y. Pettiford, PhD's National Provider Identifier is 1902158538, issued on Oct 5, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Oct 5, 2012.