| Mid Island Psychology Associates, Pllc | |
|
500 N Broadway Jericho NY 11753-2127 | |
| (516) 578-6484 | |
| Not Available |
| Full Name | Mid Island Psychology Associates, Pllc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 500 N Broadway, Jericho, New York |
| Authorized Official Name and Position | Loren Packer-hopke (PARTNER) |
| Authorized Official Contact | 5163590853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Island Psychology Associates, Pllc 500 N Broadway Jericho NY 11753-2127 Ph: (516) 578-6484 | Mid Island Psychology Associates, Pllc 500 N Broadway Jericho NY 11753-2127 Ph: (516) 578-6484 |
| NPI Number | 1356864003 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356864003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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