| Ivy Psychotherapy Lcsw P.l.l.c. | |
|
18 E 16th St Rm 503 New York NY 10003-3111 | |
| (518) 570-1155 | |
| Not Available |
| Full Name | Ivy Psychotherapy Lcsw P.l.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 E 16th St Rm 503, New York, New York |
| Authorized Official Name and Position | David Reichman (MEMBER) |
| Authorized Official Contact | 5185701155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Psychotherapy Lcsw P.l.l.c. 18 E 16th St Rm 503 New York NY 10003-3111 Ph: (518) 570-1155 | Ivy Psychotherapy Lcsw P.l.l.c. 18 E 16th St Rm 503 New York NY 10003-3111 Ph: (518) 570-1155 |
| NPI Number | 1194486175 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194486175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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