Renee S Soufer PHD

NPI # 

Practice Address:

1425 Madison Ave Fl 4

New York, NY, 10029-6514

Practice Phone:

650-422-4011

License Number:

027294

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Psychologist

Taxonomy Code:

103T00000X

Deactivation Date:

2022-09-09T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2025-07-22T00:00:00.000Z