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Organization
SHINY TRIANGLE LCSW PC
Active
Organization
SHINY TRIANGLE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEISER (OWNER)
(845) 425-0982
Entity
Organization
Contact information
Practice address
1171 TOWNE ST, CINCINNATI, OH 45216-2227
(212) 734-6621
Mailing address
254 OLD NYACK TPKE, SPRING VALLEY, NY 10977-5741
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/10/2024
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