Provider Demographics
NPI:1396928271
Name:LAREN, SATYA BLYTHE (PHD)
Entity type:Individual
Prefix:DR
First Name:SATYA
Middle Name:BLYTHE
Last Name:LAREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 E 68TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5844
Mailing Address - Country:US
Mailing Address - Phone:212-288-2763
Mailing Address - Fax:212-288-2763
Practice Address - Street 1:20 E 68TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5844
Practice Address - Country:US
Practice Address - Phone:212-288-2763
Practice Address - Fax:212-288-2763
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013667103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical