Abridged Psychology, PLLC
Psychologist, Cognitive & Behavioral in Garden City, NY. Organization (NPI-2).
NPI number1316482961
StatusActive
Last updated in NPPESJan 9, 2017
Details
- NPI
- 1316482961
- Entity type
- Organization (NPI-2)
- Legal business name
- Abridged Psychology, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2017
- Last updated
- Jan 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 011068 | NY | Yes |
| 101YM0800X | Counselor, Mental Health | 007280 | NY | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 021509 | NY | |
| 103TC0700X | Psychologist, Clinical | 016588 | NY | |
| 104100000X | Social Worker | 090586 | NY |
Practice location
647 Franklin AveSuite: Ll4
Garden City, NY 11530-5746
Phone 516-798-4070
Mailing address
205 Mineola BlvdApt. 4f
Mineola, NY 11501-2550
Phone 516-698-8178
Authorized official
Laura Bonomo
Psychologist/Owner
5167984070
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