| Psychotechnology | |
|
3900 Veterans Memorial Hwy Suite 260 Bohemia NY 11716-1042 | |
| (631) 467-1029 | |
| (631) 467-1136 |
| Full Name | Psychotechnology |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3900 Veterans Memorial Hwy, Bohemia, New York |
| Authorized Official Name and Position | Maryellen Blank (NURSE PRACTITIONER) |
| Authorized Official Contact | 6314671029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotechnology 3900 Veterans Memorial Highway Suite 260 Bohemia NY 11716 Ph: (631) 467-1029 | Psychotechnology 3900 Veterans Memorial Hwy Suite 260 Bohemia NY 11716-1042 Ph: (631) 467-1029 |
| NPI Number | 1942388293 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942388293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | F400620-1 (New York) | Primary |
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