Organization
GLACIER PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NELSON PSYD (OWNER)
(631) 335-3584
Entity
Organization
Contact information
Practice address
181 MAIN ST, HUNTINGTON, NY 11743-6918
(631) 335-3584
Mailing address
181 MAIN ST, HUNTINGTON, NY 11743-6918
(631) 335-3584
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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