| Whole Self Collective | |
|
275 14th St Brooklyn NY 11215-4911 | |
| (347) 456-7731 | |
| Not Available |
| Full Name | Whole Self Collective |
|---|---|
| Speciality | Psychologist |
| Location | 275 14th St, Brooklyn, New York |
| Authorized Official Name and Position | Jacqueline Phung (MANAGER/OWNER) |
| Authorized Official Contact | 3474567731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Self Collective Po Box 150-424 Brooklyn NY 11215 Ph: () - | Whole Self Collective 275 14th St Brooklyn NY 11215-4911 Ph: (347) 456-7731 |
| NPI Number | 1154019032 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154019032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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