| NPI | 1942388293 |
|---|---|
| Doing Business As | PSYCHOTECHNOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARYELLEN BLANK Nurse Practitioner 631-467-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY F400620-1) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |