Organization
INTEGRATIVE PSYCHOLOGICAL PROFESSIONAL SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELLE RICHARDS PHD (OWNER/PSYCHOLOGIST)
(845) 579-5728
Entity
Organization
Contact information
Practice address
3 E EVERGREEN RD, NEW CITY, NY 10956-5101
(845) 579-5728
(845) 845-3357
Mailing address
2 NELSON LN, CONGERS, NY 10920-1109
(718) 541-6453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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