| Psychological Services | |
|
526 Maple Ave Saratoga Springs NY 12866-5544 | |
| (518) 587-4161 | |
| Not Available |
| Full Name | Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 526 Maple Ave, Saratoga Springs, New York |
| Authorized Official Name and Position | Jerold Grodin (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5185874161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services 526 Maple Ave Saratoga Springs NY 12866-5544 Ph: (518) 587-4161 | Psychological Services 526 Maple Ave Saratoga Springs NY 12866-5544 Ph: (518) 587-4161 |
| NPI Number | 1790972834 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Medicare PECOS PAC ID | 2466646799 |
|---|---|
| Medicare Enrollment ID | O20101101000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790972834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jerold M Grodin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376521781 PECOS PAC ID: 4789878026 Enrollment ID: I20101101001048 |
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