Organization
PELHAM CBT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R FORAND PH.D. (PSYCHOLOGIST)
(917) 548-4972
Entity
Organization
Contact information
Practice address
596 COLONIAL AVENUE, PELHAM, NY 10803-2120
(914) 315-9497
Mailing address
596 COLONIAL AVENUE, PELHAM, NY 10803-2120
(914) 315-9497
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376891937
—
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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