Healthcare Provider Details

I. General information

NPI: 1518476530
Provider Name (Legal Business Name): SEDA CIFTCI SEVIL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEDA CIFTCI PSY.D.

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 09/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

8 BRAYTON RD
SCARSDALE NY
10583-1420
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 347-302-4251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number021698
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: