Prism Psychotherapy Lcsw Pc | |
56 Main St Ste 3-5 Warwick NY 10990-1345 | |
(845) 656-2606 | |
Not Available |
Full Name | Prism Psychotherapy Lcsw Pc |
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Speciality | Social Worker - Clinical |
Location | 56 Main St Ste 3-5, Warwick, New York |
Authorized Official Name and Position | Mary E. Pacos (OWNER) |
Authorized Official Contact | 8456562606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prism Psychotherapy Lcsw Pc Po Box 1196 Warwick NY 10990-8196 Ph: (845) 656-2606 | Prism Psychotherapy Lcsw Pc 56 Main St Ste 3-5 Warwick NY 10990-1345 Ph: (845) 656-2606 |
NPI Number | 1619479961 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 04/15/2024 |
Certification Date | 04/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619479961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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