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1053938837
ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC
SYOSSET, NY
NPI
1053938837
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Entity Type
Organization
Authorized Contact
JAY EVAN SAUL
Member
516-835-2048
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC
6800 JERICHO TPKE STE 120W
SYOSSET, NY 11791-4445
Phone number: 516-835-2048
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Mailing Address
ACTIVE CHANGE PSYCHOLOGICAL SERVICES, PLLC
6800 JERICHO TPKE STE 120W
SYOSSET, NY 11791-4445
Phone number: 516-835-2048
Copy
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