Licensed Clinical Psychologist

Appointment Request

Please provide me with the information contained in the form below, but note that an initial telephone conversation is necessary prior to scheduling an appointment.

Please telephone me at (917) 470-5492 and leave me a voice message if I am not available to take your call.  When leaving a voice message, please let me know the times during which I may best reach to schedule an initial appointment.

We are committed to your privacy. This form is for general questions or messages to the practitioner.

Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment.

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