| Liberation Psychological Services, Pllc | |
|
5800 Heritage Landing Dr Ste F East Syracuse NY 13057-9378 | |
| (315) 928-2527 | |
| (315) 303-6303 |
| Full Name | Liberation Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5800 Heritage Landing Dr Ste F, East Syracuse, New York |
| Authorized Official Name and Position | Jasmin Nicole Jones (PSYCHOLOGIST) |
| Authorized Official Contact | 3159282527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberation Psychological Services, Pllc 5800 Heritage Landing Dr Ste F East Syracuse NY 13057-9378 Ph: (315) 928-2527 | Liberation Psychological Services, Pllc 5800 Heritage Landing Dr Ste F East Syracuse NY 13057-9378 Ph: (315) 928-2527 |
| NPI Number | 1932873502 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932873502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
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