| Parker Psychological Services | |
|
12 Mallard Cv Ballston Lake NY 12019-1048 | |
| (518) 894-8307 | |
| Not Available |
| Full Name | Parker Psychological Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Mallard Cv, Ballston Lake, New York |
| Authorized Official Name and Position | Holly Elizabeth Luciano (LCSW/OWNER) |
| Authorized Official Contact | 5188948307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Psychological Services 12 Mallard Cv Ballston Lake NY 12019-1048 Ph: (518) 894-8307 | Parker Psychological Services 12 Mallard Cv Ballston Lake NY 12019-1048 Ph: (518) 894-8307 |
| NPI Number | 1710749619 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710749619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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