Organization
BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SHAMOUN PHD, LBA (PRESIDENT)
(516) 331-1587
Entity
Organization
Contact information
Practice address
22 W COLUMBIA ST, HEMPSTEAD, NY 11550-2411
(516) 331-1587
(516) 216-4231
Mailing address
22 W COLUMBIA ST, HEMPSTEAD, NY 11550-2411
(516) 331-1587
(516) 216-4231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
11/30/2021
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