Provider Demographics
NPI:1831686815
Name:KUMAR, SNEHAL MOROTH (PHD)
Entity type:Individual
Prefix:
First Name:SNEHAL
Middle Name:MOROTH
Last Name:KUMAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 5TH AVE FL 11
Mailing Address - Street 2:STE 1109
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:302 5TH AVENUE FL 11
Practice Address - Street 2:STE 1109
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3604
Practice Address - Country:US
Practice Address - Phone:917-740-8155
Practice Address - Fax:347-542-7912
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022422103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist