Adc Psychological Services PLLC
Psychologist, Adult Development & Aging in Hewlett, NY. Organization (NPI-2).
NPI number1235205360
StatusActive
Last updated in NPPESJan 13, 2009
Details
- NPI
- 1235205360
- Entity type
- Organization (NPI-2)
- Legal business name
- Adc Psychological Services PLLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Jan 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0700X | Psychologist, Adult Development & Aging | 010847 | NY | Yes |
| 103TC0700X | Psychologist, Clinical | 007842 | NY | |
| 103TC0700X | Psychologist, Clinical | 010263 | NY | |
| 1041C0700X | Social Worker, Clinical | R0318131 | NY |
Practice location
1728 BroadwaySuite # 1
Hewlett, NY 11557-1630
Phone 516-596-0073 · Fax 516-599-5698
Mailing address
1728 BroadwaySuite # 1
Hewlett, NY 11557-1630
Phone 516-596-0073 · Fax 516-599-5698
Authorized official
Michael J Salamon
Senior Director
5165960073
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