SearchNew York1041C0700X

Andito Sutherland-Johnson, LCSW

NPI 1952715468 · on the registry since 2014 · sole proprietor

Practice

Address
11 E 109th St
New York, NY 10029
Phone
(917) 877-0295

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
Licence states on file
NY, LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York