Sunrise Psychological Services LLC
Psychologist in Prospect, CT. Organization (NPI-2).
NPI number1699199869
StatusActive
Last updated in NPPESFeb 9, 2014
Details
- NPI
- 1699199869
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Psychological Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2014
- Last updated
- Feb 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
25 Royal Crest DrProspect, CT 06712-1486
Phone 845-826-0060
Mailing address
Po Box 1250Monsey, NY 10952-8349
Authorized official
Joel Meisels
President
8458260060
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