| NPI | 1447959598 |
|---|---|
| Doing Business As | WAVELENGTH PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | JILLIAN KAUFMAN Founder/Lead Therapist 631-806-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-06-25 |