# GROWING MINDS PSYCHOLOGICAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902627714
- **Authorized official:** DR. REBECCA WADE PSY.D. (OWNER)
- **Authorized official phone:** (631) 493-7876

## Contact information

- **Practice address:** 358 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4326
- **Practice address phone:** (631) 493-7876
- **Mailing address:** 358 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024