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Organization

COLLEEN M. PEARSON PSYD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN PEARSON PSYD (PSYCHOLOGIST)
(917) 993-3975
Entity
Organization

Contact information

Practice address
165 BROADWAY FL 23, NEW YORK, NY 10006-1452
(917) 725-4774
(917) 725-8676
Mailing address
630 VICTORY BLVD APT 6E, STATEN ISLAND, NY 10301-3523
(917) 725-4774
(917) 725-8676

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8796
FL

Other

Enumeration date
11/02/2016
Last updated
06/22/2021
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