Organization
PSYCHOLOGICAL WELLNESS AND SUPPORT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE YIP CHAN PH.D. (PSYCHOLOGIST)
(516) 375-7802
Entity
Organization
Contact information
Practice address
19 STRAWBERRY LN, ROSLYN HEIGHTS, NY 11577-2531
(516) 375-7802
Mailing address
185 ROSLYN RD, SUITE 2, ROSLYN HEIGHTS, NY 11577-1356
(516) 375-7802
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011368
NY
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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