Organization
CORNESTONE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNGHYE SIN PSYD (LICENSED PSYCHOLOGIST)
(267) 808-5764
Entity
Organization
Contact information
Practice address
201 GLENWOOD RD, MELROSE PARK, PA 19027-3522
(267) 808-5764
Mailing address
201 GLENWOOD RD, MELROSE PARK, PA 19027-3522
(267) 808-5764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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