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Organization
WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.
Active
Organization
WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE LEE WOYTHAL PSYD (OWNER)
(516) 987-4200
Entity
Organization
Contact information
Practice address
135 PINELAWN RD STE 204N, MELVILLE, NY 11747-3133
(844) 888-0355
(844) 222-4005
Mailing address
135 PINELAWN RD STE 204N, MELVILLE, NY 11747-3133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/15/2017
Last updated
06/08/2020
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