| Petsche Psychology Practice, Pllc | |
|
21 British American Blvd Latham NY 12110-1405 | |
| (518) 344-4141 | |
| Not Available |
| Full Name | Petsche Psychology Practice, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 21 British American Blvd, Latham, New York |
| Authorized Official Name and Position | Andrew Petsche (OWNER) |
| Authorized Official Contact | 5183444141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petsche Psychology Practice, Pllc 21 British American Blvd Latham NY 12110-1405 Ph: (518) 344-4141 | Petsche Psychology Practice, Pllc 21 British American Blvd Latham NY 12110-1405 Ph: (518) 344-4141 |
| NPI Number | 1346014925 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346014925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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