Supportive Psychological Services Pc | |
255 W 88th St Apt 6b New York NY 10024-1717 | |
(212) 787-0874 | |
(866) 411-9117 |
Full Name | Supportive Psychological Services Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 255 W 88th St Apt 6b, New York, New York |
Authorized Official Name and Position | Richard M Bennett (PRESIDENT) |
Authorized Official Contact | 2127870874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Supportive Psychological Services Pc 255 W 88th St Apt 6b New York NY 10024-1717 Ph: (212) 787-0874 | Supportive Psychological Services Pc 255 W 88th St Apt 6b New York NY 10024-1717 Ph: (212) 787-0874 |
NPI Number | 1003184136 |
---|---|
Provider Enumeration Date | 12/04/2011 |
Last Update Date | 03/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003184136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (New York) | Primary |
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