| Pelham Cbt | |
|
596 Colonial Avenue Pelham NY 10803-2120 | |
| (914) 315-9497 | |
| Not Available |
| Full Name | Pelham Cbt |
|---|---|
| Speciality | Psychologist |
| Location | 596 Colonial Avenue, Pelham, New York |
| Authorized Official Name and Position | Nicholas R Forand (PSYCHOLOGIST) |
| Authorized Official Contact | 9175484972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Cbt 596 Colonial Avenue Pelham NY 10803-2120 Ph: (914) 315-9497 | Pelham Cbt 596 Colonial Avenue Pelham NY 10803-2120 Ph: (914) 315-9497 |
| NPI Number | 1336742691 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336742691 | NPI | - | NPPES |
| 1376891937 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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