| Wavelengths Psychology, Pc | |
|
4770 Sunrise Hwy Suite 105 Massapequa Park NY 11762-2911 | |
| (800) 871-5491 | |
| (800) 871-5491 |
| Full Name | Wavelengths Psychology, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4770 Sunrise Hwy, Massapequa Park, New York |
| Authorized Official Name and Position | Sharon Grand (OWNER) |
| Authorized Official Contact | 8008715491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wavelengths Psychology, Pc 4770 Sunrise Hwy Suite 105 Massapequa Park NY 11762-2911 Ph: (800) 871-5491 | Wavelengths Psychology, Pc 4770 Sunrise Hwy Suite 105 Massapequa Park NY 11762-2911 Ph: (800) 871-5491 |
| NPI Number | 1013375906 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013375906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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