| Alta Psychotherapy Lcsw Pllc | |
|
36-13 24th Ave Astoria NY 11103 | |
| (646) 760-9665 | |
| Not Available |
| Full Name | Alta Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 36-13 24th Ave, Astoria, New York |
| Authorized Official Name and Position | Chloe Svolakos (OWNER) |
| Authorized Official Contact | 6467609665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Psychotherapy Lcsw Pllc 36-13 24th Ave Astoria NY 11103 Ph: () - | Alta Psychotherapy Lcsw Pllc 36-13 24th Ave Astoria NY 11103 Ph: (646) 760-9665 |
| NPI Number | 1225730450 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225730450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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