| Etat Dame Psychological Services | |
|
4332 22nd St Ste 203 Long Island City NY 11101-5077 | |
| (929) 738-1592 | |
| Not Available |
| Full Name | Etat Dame Psychological Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4332 22nd St Ste 203, Long Island City, New York |
| Authorized Official Name and Position | Jihee Cho (CO-FOUNDER) |
| Authorized Official Contact | 9297381592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etat Dame Psychological Services 4332 22nd St Ste 203 Long Island City NY 11101-5077 Ph: (929) 738-1592 | Etat Dame Psychological Services 4332 22nd St Ste 203 Long Island City NY 11101-5077 Ph: (929) 738-1592 |
| NPI Number | 1306667142 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306667142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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