| Maddix Therapy Alliance | |
|
595 E 59th St Brooklyn NY 11234-1301 | |
| (718) 864-1135 | |
| Not Available |
| Full Name | Maddix Therapy Alliance |
|---|---|
| Speciality | Psychologist |
| Location | 595 E 59th St, Brooklyn, New York |
| Authorized Official Name and Position | Tiesha Maddix (PSYCHOLOGIST) |
| Authorized Official Contact | 9176670462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maddix Therapy Alliance 2909 Park Ave Bridgeport CT 06604-1328 Ph: (917) 667-0462 | Maddix Therapy Alliance 595 E 59th St Brooklyn NY 11234-1301 Ph: (718) 864-1135 |
| NPI Number | 1609586338 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609586338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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