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Birthdate


Are you a member of the APsaA?
 Y    N

Designation
 Candidate Psychoanalyst  
 Clinical Psychologist  
 Clinical Social Worker  
 Educational Psychologist  
 Graduate Psychoanalyst  
 Graduate Psychoanalyst (retired)  
 Graduate Psychoanalytic Psychotherapist  
 Graduate Psychoanalytic Psychotherapist (retired)  
 Licensed Clinical Social Worker  
 Psychiatrist  
 Psychiatrist (retired)  
 Research Candidate in Psychoanalysis  
 Research Graduate in Psychoanalysis  
 Student Psychoanalytic Psychotherapist  
 Other  

Ethnicity
 American Indian/Alaska Native  
 Asian  
 Black/African American  
 Caucasian  
 Hispanic/Latin  
 Native Hawaiian or Other Pacific Islander  

Languages Spoken
 Arabic  
 French  
 German  
 Italian  
 Spanish  
 Chinese  
 Russian  
 Hindi  
 Polish  
 ASL  


Contact Information







Accepts Insurance
 Y    N


Take Child Patients?
 Y    N

Education


Psychoanalytic Training Program Graduation Date

Degree
 ABPP  
 BA  
 BCD-P  
 CGP  
 DNP  
 DO  
 DSW  
 EdD  
 FABP  
 JD  
 LCPC  
 LCSW  
 LCSW-C  
 LGSW  
 LICSW  
 LPC  
 M.A.Ed.  
 M.Ed  
 M.Med  
 M.Phil  
 M.Sc  
 MA  
 MD  
 MFA  
 MPH  
 MS  
 MSN  
 MSS  
 MSW  
 PhD  
 PMHCNS-BC  
 PsyD  
 RN  
 STA  

Specialty
 Psychoanalysis and Psychotherapy with Adults  
 Psychoanalysis and Psychotherapy with Adolescents  
 Psychoanalysis and Psychotherapy with Children  
 Psychotherapy with Adults  
 Psychotherapy with Adolescents  
 Psychotherapy with Children  
 Psychological Testing  
 Neuropsychological Testing  
 Medication consultation  
 General Psychiatry  
 Forensic Psychiatry  
 Licensed Psychologist  
 Licensed Psychiatrist  
 Licensed Clinical Social Worker  
 Licensed Professional Counselor  



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