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Organization
MINDHEALTH PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
MINDHEALTH PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA LAUREN HAVEN PH.D. (OWNER)
(845) 784-7862
Entity
Organization
Contact information
Practice address
3669 MAIN ST, SUITE 5, STONE RIDGE, NY 12484-5613
(845) 784-7862
Mailing address
3669 MAIN ST STE 5, P.O. BOX 894, STONE RIDGE, NY 12484-5613
(845) 784-7862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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