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Contact Information

FERNDALE PSYCHOLOGICAL SERVICES
111 SULLIVAN AVE
SUITE 2-5
FERNDALE, NY12734-4315
 Phone: 845-292-6222
 Fax: 845-292-6220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FERNDALE PSYCHOLOGICAL SERVICES · (Female)

NPI # 1164827317
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2014
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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