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Organization
PSYCHOLOGICAL EVALUATION AND TESTING SERVICES, LLC
Active
Organization
PSYCHOLOGICAL EVALUATION AND TESTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANELLE RICHARDS PH.D. (CLINICAL PSYCHOLOGIST)
(718) 541-6453
Entity
Organization
Contact information
Practice address
19 W 34TH ST, PENTHOUSE 1419, NEW YORK, NY 10001-3006
(212) 947-7111
(212) 239-0948
Mailing address
715 DE MOTT AVE, NORTH BALDWIN, NY 11510-1328
(718) 541-6453
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
016824
NY
103G00000X
Clinical Neuropsychologist
017079
NY
103T00000X
Psychologist
016824
NY
103T00000X
Psychologist
017079
NY
103TA0700X
Adult Development & Aging Psychologist
016824
NY
103TA0700X
Adult Development & Aging Psychologist
017079
NY
103TB0200X
Cognitive & Behavioral Psychologist
016824
NY
103TB0200X
Cognitive & Behavioral Psychologist
017079
NY
103TC0700X
Clinical Psychologist
016824
NY
103TC0700X
Clinical Psychologist
Primary
017079
NY
103TC2200X
Clinical Child & Adolescent Psychologist
016824
NY
Other
Enumeration date
04/20/2007
Last updated
08/25/2011
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