Organization
BRIAN L. FAST, PSY.D. AND STEPHEN P. GREGGO, PSY.D, PSYCHOLOGISTS, P.C
Active
Other names
Capital Area Christian Counseling Asso
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL KOONZ (OFFICE MANAGER)
(518) 439-0033
Entity
Organization
Contact information
Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 439-0033
(518) 439-7167
Mailing address
29 JAY UNIT 1067, SCHENECTADY, NY 12301-3307
(518) 374-7555
(518) 374-6898
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727095
—
NY
Enumeration date
07/04/2006
Last updated
06/10/2020
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