| Blossoming Psychological Services, Pllc | |
|
3710 76th St Apt 3g Jackson Heights NY 11372-6511 | |
| (917) 655-0701 | |
| Not Available |
| Full Name | Blossoming Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3710 76th St Apt 3g, Jackson Heights, New York |
| Authorized Official Name and Position | Violeta Bianucci (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9176550701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Psychological Services, Pllc 3710 76th St Apt 3g Jackson Heights NY 11372-6511 Ph: (917) 655-0701 | Blossoming Psychological Services, Pllc 3710 76th St Apt 3g Jackson Heights NY 11372-6511 Ph: (917) 655-0701 |
| NPI Number | 1902409253 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902409253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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