h: 01/20/1953 Sex: M F II : NYM Date: 08/01/201913:29 Provider. PsyD Reg #: 76318-054 Unit Team: 5 Completed by PsyD on 08/01/2019 16:21 Ginned 06.011201916:21 by NYC Bureau of Prisons • NYM Page 3 of 3 EFTA00089127 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services C