| Dr Darlene Powell Garlington Psychological Services Pllc | |
|
2280 Grand Ave Ste 304 Baldwin NY 11510-3110 | |
| (516) 679-0457 | |
| Not Available |
| Full Name | Dr Darlene Powell Garlington Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2280 Grand Ave Ste 304, Baldwin, New York |
| Authorized Official Name and Position | Darlene Powell Garlington (OWNER) |
| Authorized Official Contact | 8606045888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darlene Powell Garlington Psychological Services Pllc 2280 Grand Ave Ste 304 Baldwin NY 11510-3110 Ph: (516) 679-0457 | Dr Darlene Powell Garlington Psychological Services Pllc 2280 Grand Ave Ste 304 Baldwin NY 11510-3110 Ph: (516) 679-0457 |
| NPI Number | 1700382603 |
|---|---|
| Provider Enumeration Date | 04/01/2018 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Medicare PECOS PAC ID | 9830502681 |
|---|---|
| Medicare Enrollment ID | O20210115000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700382603 | NPI | - | NPPES |
| 04075747 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darlene Laura Powell Garlington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124046651 PECOS PAC ID: 3375546476 Enrollment ID: I20141231001077 |
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