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Contact Information

LIFE CHANGING PSYCHOLOGICAL SERVICES,PLLC
153 MAIN ST
MOUNT KISCO, NY10549-2317
 Phone: 914-961-8412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE CHANGING PSYCHOLOGICAL SERVICES,PLLC

NPI Number 1497709588
LBN Legal business name LIFE CHANGING PSYCHOLOGICAL SERVICES,PLLC
Authorized official PENNI WALDMAN - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2006
Last updated 04/07/2016 - About 10 years ago
Identifiers
NY License # 0154791
NY Other WGW281 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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