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Contact Information

QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER
14108 JEWEL AVE
FLUSHING, NY11367-1618
 Phone: 347-815-4228
 Fax: 413-639-4458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER · (Female)

NPI # 1295125110
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2015
Last updated 01/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 019732
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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