| Groundwork Therapy Psychological Services, Pllc | |
|
1000 Dean Street, Suite 226 Brooklyn NY 11238 | |
| (347) 669-9792 | |
| Not Available |
| Full Name | Groundwork Therapy Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1000 Dean Street,, Brooklyn, New York |
| Authorized Official Name and Position | Melissa Morgan Johnson (OWNER/MEMBER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7142670471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork Therapy Psychological Services, Pllc 1000 Dean Street, Suite 226 Brooklyn NY 11238 Ph: (347) 669-9792 | Groundwork Therapy Psychological Services, Pllc 1000 Dean Street, Suite 226 Brooklyn NY 11238 Ph: (347) 669-9792 |
| NPI Number | 1205328010 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 12/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205328010 | NPI | - | NPPES |
| 1013167907 | Other | NPI | |
| 1093048753 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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