| Supportive Psychological Services Pc | |
|
255 W 88th St Apt 6b New York NY 10024-1717 | |
| (212) 787-0874 | |
| (866) 411-9117 |
| Full Name | Supportive Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 255 W 88th St Apt 6b, New York, New York |
| Authorized Official Name and Position | Richard M Bennett (PRESIDENT) |
| Authorized Official Contact | 2127870874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Psychological Services Pc 255 W 88th St Apt 6b New York NY 10024-1717 Ph: (212) 787-0874 | Supportive Psychological Services Pc 255 W 88th St Apt 6b New York NY 10024-1717 Ph: (212) 787-0874 |
| NPI Number | 1003184136 |
|---|---|
| Provider Enumeration Date | 12/04/2011 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003184136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (New York) | Primary |
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