Provider Demographics
NPI:1356928964
Name:FREDRIKA STJARNE PSYCHOANALYSIS PC
Entity type:Organization
Organization Name:FREDRIKA STJARNE PSYCHOANALYSIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOANALYST/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDRIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:STJARNE
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:917-532-0687
Mailing Address - Street 1:15 W 12TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8557
Mailing Address - Country:US
Mailing Address - Phone:917-532-0687
Mailing Address - Fax:
Practice Address - Street 1:15 W 12TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8557
Practice Address - Country:US
Practice Address - Phone:917-532-0687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty