Wellqor Psychological Services Of Wisconsin, S.c. | |
135 Pinelawn Rd Ste 204n Melville NY 11747-3133 | |
(844) 888-0355 | |
(844) 222-4005 |
Full Name | Wellqor Psychological Services Of Wisconsin, S.c. |
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Speciality | Psychologist |
Location | 135 Pinelawn Rd Ste 204n, Melville, New York |
Authorized Official Name and Position | Constance Lee Woythal (OWNER) |
Authorized Official Contact | 5169874200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellqor Psychological Services Of Wisconsin, S.c. 135 Pinelawn Rd Ste 204n Melville NY 11747-3133 Ph: () - | Wellqor Psychological Services Of Wisconsin, S.c. 135 Pinelawn Rd Ste 204n Melville NY 11747-3133 Ph: (844) 888-0355 |
NPI Number | 1194252742 |
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Provider Enumeration Date | 05/15/2017 |
Last Update Date | 06/08/2020 |
Certification Date | 06/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194252742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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