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Organization
GROWING MINDS PSYCHOLOGICAL SERVICES PLLC
Active
Organization
GROWING MINDS PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA WADE PSY.D. (OWNER)
(631) 493-7876
Entity
Organization
Contact information
Practice address
358 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4326
(631) 493-7876
Mailing address
358 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4326
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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