Organization
FENTON PSYCHOLOGICAL SERVICES P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCHA FENTON PSYD (OWNER)
(516) 253-5633
Entity
Organization
Contact information
Practice address
301 OAKFORD ST, WEST HEMPSTEAD, NY 11552-3255
(516) 253-5633
Mailing address
PO BOX 354, WEST HEMPSTEAD, NY 11552-0354
(516) 253-5633
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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