Freedom First Psychological Services, Pllc | |
4 Avis Dr Ste 101 Latham NY 12110-2650 | |
(518) 560-4277 | |
(518) 662-4277 |
Full Name | Freedom First Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 4 Avis Dr Ste 101, Latham, New York |
Authorized Official Name and Position | Alicia Mahler (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 5185604277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freedom First Psychological Services, Pllc 4 Avis Dr Ste 101 Latham NY 12110-2650 Ph: (518) 560-4277 | Freedom First Psychological Services, Pllc 4 Avis Dr Ste 101 Latham NY 12110-2650 Ph: (518) 560-4277 |
NPI Number | 1225487713 |
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Provider Enumeration Date | 06/06/2016 |
Last Update Date | 06/26/2019 |
Medicare PECOS PAC ID | 8628304144 |
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Medicare Enrollment ID | O20190722002324 |
Identifier | Type | State | Issuer |
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1225487713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 021170-1 (New York) | Primary |
Provider Name | Heather L Juby |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710089149 PECOS PAC ID: 2365590031 Enrollment ID: I20090507000162 |
Provider Name | Jamie Forsyth |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265098800 PECOS PAC ID: 9032446604 Enrollment ID: I20190806002142 |
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