Most Relevant Information
Provider Data
NPI Number: | 1003287665 |
Provider Name: | DWAYNE POOLE-SEYMOUR PHD |
Entity Type: | Individual |
Taxonomy Code: | 102L00000X |
Specialty: | Psychoanalyst |
License Number: | 090313 |
Most Important Dates
Enumeration Date: | 10/08/2015 |
Last Updated: | 10/08/2015 |
Provider Practice Location
154 W 127TH ST
NEW YORK
NY
100273739
Practice Location Phone/Fax
Phone: | 2127493507 |
Fax: |
Provider Mailing Location
931 LENOX RD
BROOKLYN
NY
112032617
Provider Mailing Phone/Fax
Phone: | 7185516723 |
Fax: |