| Free Mind Therapy Ny Lcsw Pllc | |
|
20 Northfield Dr Northport NY 11768-2413 | |
| (516) 578-4430 | |
| Not Available |
| Full Name | Free Mind Therapy Ny Lcsw Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 20 Northfield Dr, Northport, New York |
| Authorized Official Name and Position | Sean D Maccorkindale (MEMBER) |
| Authorized Official Contact | 5165784430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Mind Therapy Ny Lcsw Pllc 20 Northfield Dr Northport NY 11768-2413 Ph: (516) 578-4430 | Free Mind Therapy Ny Lcsw Pllc 20 Northfield Dr Northport NY 11768-2413 Ph: (516) 578-4430 |
| NPI Number | 1366139727 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366139727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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