| Lifeskillsandpsychotherapy Services, Pc | |
|
1050 Hallock Ave Suite 1 Port Jefferson Station NY 11776-1214 | |
| (631) 467-2554 | |
| (631) 467-6649 |
| Full Name | Lifeskillsandpsychotherapy Services, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1050 Hallock Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Diane O. Seaman (OWNER DIRECTOR) |
| Authorized Official Contact | 6314672554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeskillsandpsychotherapy Services, Pc 1050 Hallock Ave Suite 1 Port Jefferson Station NY 11776-1214 Ph: () - | Lifeskillsandpsychotherapy Services, Pc 1050 Hallock Ave Suite 1 Port Jefferson Station NY 11776-1214 Ph: (631) 467-2554 |
| NPI Number | 1396870820 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396870820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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