| In Depth Psychotherapy Lcsw Pc | |
|
3225 90th St Flushing NY 11369-2356 | |
| (917) 907-4737 | |
| Not Available |
| Full Name | In Depth Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3225 90th St, Flushing, New York |
| Authorized Official Name and Position | Guadalupe Avila (OWNER) |
| Authorized Official Contact | 9179074737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Depth Psychotherapy Lcsw Pc 3225 90th St Flushing NY 11369-2356 Ph: (917) 907-4737 | In Depth Psychotherapy Lcsw Pc 3225 90th St Flushing NY 11369-2356 Ph: (917) 907-4737 |
| NPI Number | 1134665565 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134665565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 055836-1 (New York) | Primary |
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