Life Changing Psychological Services,pllc | |
153 Main St Mount Kisco NY 10549-2317 | |
(914) 961-8412 | |
Not Available |
Full Name | Life Changing Psychological Services,pllc |
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Speciality | Psychologist - Clinical |
Location | 153 Main St, Mount Kisco, New York |
Authorized Official Name and Position | Penni Nicole Waldman (PSYCHOLOGIST) |
Authorized Official Contact | 9149618412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Changing Psychological Services,pllc Po Box 215 Hartsdale NY 10530-0215 Ph: (914) 961-8412 | Life Changing Psychological Services,pllc 153 Main St Mount Kisco NY 10549-2317 Ph: (914) 961-8412 |
NPI Number | 1497709588 |
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Provider Enumeration Date | 05/21/2006 |
Last Update Date | 04/07/2016 |
Identifier | Type | State | Issuer |
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1497709588 | NPI | - | NPPES |
WGW281 | Other | NY | MEDICARE |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 0154791 (New York) | Primary |
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