| Therapy Stores, Llc | |
|
115 Broadway Ste 1800 New York NY 10006-1652 | |
| (212) 234-6167 | |
| Not Available |
| Full Name | Therapy Stores, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 115 Broadway Ste 1800, New York, New York |
| Authorized Official Name and Position | Bradley Ray Brenner (PARTNER AND CEO) |
| Authorized Official Contact | 2029865941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Stores, Llc 1350 Connecticut Ave Nw Ste 800 Washington DC 20036-1733 Ph: (202) 986-5941 | Therapy Stores, Llc 115 Broadway Ste 1800 New York NY 10006-1652 Ph: (212) 234-6167 |
| NPI Number | 1063998102 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063998102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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