| Wellness Road Psychology, Pllc | |
|
140 Broadway # 4657 New York NY 10005-1108 | |
| (646) 961-4973 | |
| Not Available |
| Full Name | Wellness Road Psychology, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 140 Broadway # 4657, New York, New York |
| Authorized Official Name and Position | Philip Glickman (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6469614973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Road Psychology, Pllc 15 N Eckar St Irvington NY 10533-1510 Ph: (914) 671-4860 | Wellness Road Psychology, Pllc 140 Broadway # 4657 New York NY 10005-1108 Ph: (646) 961-4973 |
| NPI Number | 1639709439 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639709439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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