Organization · NPI-2

Albany Psychological Services For Eating Disorders, PLLC

Psychologist · Albany, NY

NPI number1235479387

StatusActive

Last updated in NPPESFeb 27, 2013

Details

NPI: 1235479387
Entity type: Organization (NPI-2)
Legal business name: Albany Psychological Services For Eating Disorders, PLLC
Organization subpart: No
Enumeration date: Feb 27, 2013
Last updated: Feb 27, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	–	–	Yes
133V00000X	Dietitian, Registered	–	–
163W00000X	Registered Nurse	–	–

Other names

Livewell (Doing Business As)

Practice location

1 Pine West Plz Ste 106
Albany, NY 12205-5531

Phone 518-218-1188 · Fax 518-218-1988

Mailing address

1 Pine West Plz Ste 106
Albany, NY 12205-5531

Phone 518-218-1188 · Fax 518-218-1988

Authorized official

Julie Nettina Morison
Owner/ Psychologist
5182181188

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