Most Relevant Information
Provider Data
| NPI Number: | 1003198557 |
| Provider Name: | ELIZABETH R GOREN PH.D |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 5616 |
Most Important Dates
| Enumeration Date: | 09/11/2011 |
| Last Updated: | 09/11/2011 |
Provider Practice Location
300 MERCER ST
SUITE 23L
NEW YORK
NY
100036724
Practice Location Phone/Fax
| Phone: | 2125333913 |
| Fax: |
Provider Mailing Location
300 MERCER ST
SUITE 23L
NEW YORK
NY
100036724
Provider Mailing Phone/Fax
| Phone: | 2125333913 |
| Fax: |