| NPI | 1750927802 |
|---|---|
| Former Legal Business Name | SHORELINE PSYCHOLOGICAL |
| Entity Type | Organization |
| Authorized Contact | ABBY LIPSCHUTZ Director/Owner 646-265-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-09-14 |