Impact Psychological Services Pllc | |
1183 North Ave Beacon NY 12508-1700 | |
(917) 300-1332 | |
Not Available |
Full Name | Impact Psychological Services Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 1183 North Ave, Beacon, New York |
Authorized Official Name and Position | Tracy A Prout (CO-OWNER/MANAGING MEMBER) |
Authorized Official Contact | 9175962958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impact Psychological Services Pllc 1183 North Ave Beacon NY 12508-1700 Ph: (917) 596-2958 | Impact Psychological Services Pllc 1183 North Ave Beacon NY 12508-1700 Ph: (917) 300-1332 |
NPI Number | 1538837414 |
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Provider Enumeration Date | 09/03/2021 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538837414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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