NPI | 1316487259 |
---|---|
Other Name | CLINICAL, POLICE & FORENSIC PSYCHOLOGICAL SERVICES PLLC |
Entity Type | Organization |
Authorized Contact | GREGORY IRVING MACK Owner 845-282-3367 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016597) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 016597) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 016597) | |
103TF0200X Psychologist, Forensic (Licence: NY 016597) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 016597) | |
Enumeration Date | 2017-02-25 |
Last Update Date | 2017-02-25 |