| Psychological Assessment And Screening Services Pc | |
|
400 S Oyster Bay Rd Suite 204 Hicksville NY 11801-3500 | |
| (516) 818-8383 | |
| (516) 605-1181 |
| Full Name | Psychological Assessment And Screening Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 400 S Oyster Bay Rd, Hicksville, New York |
| Authorized Official Name and Position | Fred Holtz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5168188383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment And Screening Services Pc 400 S Oyster Bay Rd Suite 204 Hicksville NY 11801-3500 Ph: (516) 818-8383 | Psychological Assessment And Screening Services Pc 400 S Oyster Bay Rd Suite 204 Hicksville NY 11801-3500 Ph: (516) 818-8383 |
| NPI Number | 1669928677 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 6901330471 |
|---|---|
| Medicare Enrollment ID | O20241107000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669928677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 010194 (New York) | Primary |
| Provider Name | Fred L Holtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629175039 PECOS PAC ID: 4880672666 Enrollment ID: I20040708001172 |
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