| Evolutionary Psychotherapy Lcsw Pllc | |
|
291 Wall St Ste 3 Kingston NY 12401-3849 | |
| (845) 795-8030 | |
| Not Available |
| Full Name | Evolutionary Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 291 Wall St Ste 3, Kingston, New York |
| Authorized Official Name and Position | Molly Tweedy (DIRECTOR / OWNER) |
| Authorized Official Contact | 8457958030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutionary Psychotherapy Lcsw Pllc 291 Wall St Ste 3 Kingston NY 12401-3849 Ph: (845) 795-8030 | Evolutionary Psychotherapy Lcsw Pllc 291 Wall St Ste 3 Kingston NY 12401-3849 Ph: (845) 795-8030 |
| NPI Number | 1679244925 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679244925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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