Bronx Psychology Services, Pllc | |
906 E 180th St Ste 202 Bronx NY 10460-1917 | |
(847) 977-0609 | |
Not Available |
Full Name | Bronx Psychology Services, Pllc |
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Speciality | Psychologist - Clinical |
Location | 906 E 180th St Ste 202, Bronx, New York |
Authorized Official Name and Position | Dana Jamal Jackson (CLINICAL PSYCHOLOGIST/PRESIDENT) |
Authorized Official Contact | 8479770609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bronx Psychology Services, Pllc 906 E 180th St Ste 202 Bronx NY 10460-1917 Ph: (847) 977-0609 | Bronx Psychology Services, Pllc 906 E 180th St Ste 202 Bronx NY 10460-1917 Ph: (847) 977-0609 |
NPI Number | 1194150409 |
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Provider Enumeration Date | 09/05/2013 |
Last Update Date | 09/05/2013 |
Identifier | Type | State | Issuer |
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1194150409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 016903 (New York) | Primary |
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