Downstate Iclc Psychological Services, Pllc | |
445 Lenox Rd Suite D Brooklyn NY 11203-2017 | |
(718) 270-2036 | |
(718) 270-3910 |
Full Name | Downstate Iclc Psychological Services, Pllc |
---|---|
Speciality | Social Worker |
Location | 445 Lenox Rd, Brooklyn, New York |
Authorized Official Name and Position | Joan Hittelman (PSYCHOLOGIST OWNER) |
Authorized Official Contact | 7182702036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Downstate Iclc Psychological Services, Pllc 415 E 37th St 34a New York NY 10016-3200 Ph: (718) 270-2036 | Downstate Iclc Psychological Services, Pllc 445 Lenox Rd Suite D Brooklyn NY 11203-2017 Ph: (718) 270-2036 |
NPI Number | 1164572723 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164572723 | NPI | - | NPPES |
02800071 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Primary |
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