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Organization
SUPPORTIVE PSYCHOLOGICAL SERVICES PC
Active
Organization
SUPPORTIVE PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M BENNETT PHD (PRESIDENT)
(212) 787-0874
Entity
Organization
Contact information
Practice address
255 W 88TH ST APT 6B, NEW YORK, NY 10024-1717
(212) 787-0874
(866) 411-9117
Mailing address
255 W 88TH ST APT 6B, NEW YORK, NY 10024-1717
(212) 787-0874
(866) 411-9117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NY
Other
Enumeration date
12/04/2011
Last updated
03/09/2015
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