| Integrative Psychological Professional Service, Pllc | |
|
3 E Evergreen Rd New City NY 10956-5101 | |
| (845) 579-5728 | |
| (845) 845-3357 |
| Full Name | Integrative Psychological Professional Service, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3 E Evergreen Rd, New City, New York |
| Authorized Official Name and Position | Chanelle Richards (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8455795728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Professional Service, Pllc 2 Nelson Ln Congers NY 10920-1109 Ph: (718) 541-6453 | Integrative Psychological Professional Service, Pllc 3 E Evergreen Rd New City NY 10956-5101 Ph: (845) 579-5728 |
| NPI Number | 1124762455 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124762455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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