Individual
DR. CHARLES EDWARD YURKEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
393 FRANKLIN AVE, SUITE 101, FRANKLIN SQUARE, NY 11010-1222
(516) 750-4841
(516) 394-4767
Mailing address
393 FRANKLIN AVE, SUITE 101, FRANKLIN SQUARE, NY 11010-1222
(516) 750-4841
(516) 394-4767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018127
NY
103TB0200X
Cognitive & Behavioral Psychologist
018127
NY
103TC2200X
Clinical Child & Adolescent Psychologist
018127
NY
103TP2701X
Group Psychotherapy Psychologist
018127
NY
103TS0200X
School Psychologist
018127
NY
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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