| Complete Psychological Services | |
|
5 Dowsing Pl Amityville NY 11701-3719 | |
| (631) 598-0147 | |
| Not Available |
| Full Name | Complete Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 5 Dowsing Pl, Amityville, New York |
| Authorized Official Name and Position | Ilene Jurmann (PRESIDENT) |
| Authorized Official Contact | 5166414961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Psychological Services 51 Ann Dr Syosset NY 11791-5906 Ph: (516) 641-4961 | Complete Psychological Services 5 Dowsing Pl Amityville NY 11701-3719 Ph: (631) 598-0147 |
| NPI Number | 1346556867 |
|---|---|
| Provider Enumeration Date | 08/21/2010 |
| Last Update Date | 08/21/2010 |
| Medicare PECOS PAC ID | 4688862824 |
|---|---|
| Medicare Enrollment ID | O20110103000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346556867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 013920 (New York) | Primary |
| Provider Name | Ilene D Jurmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700986288 PECOS PAC ID: 6204869514 Enrollment ID: I20050916000586 |
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