| Reflective Psychology Associates, Pllc | |
|
144 Woodbury Rd 16 Woodbury NY 11797-1418 | |
| (516) 900-2541 | |
| Not Available |
| Full Name | Reflective Psychology Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 144 Woodbury Rd, Woodbury, New York |
| Authorized Official Name and Position | Sally Ann Graham (PRESIDENT) |
| Authorized Official Contact | 5169002541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Psychology Associates, Pllc 144 Woodbury Rd 16 Woodbury NY 11797-1418 Ph: (516) 900-2541 | Reflective Psychology Associates, Pllc 144 Woodbury Rd 16 Woodbury NY 11797-1418 Ph: (516) 900-2541 |
| NPI Number | 1124425756 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 4385964881 |
|---|---|
| Medicare Enrollment ID | O20150526000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124425756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 013953 (New York) | Primary |
| Provider Name | Sally A Graham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336210293 PECOS PAC ID: 8325214141 Enrollment ID: I20111229000068 |
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