Organization
INTERACTIVE DISCOVERY CONSULTING AND PSYCHOLOGICAL SVCS., P.C.
Active
Other names
Lotus Consulting Psychological services, P.C., Interactive Discovery
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA SALVATORE (BILLING SUPERVISOR)
(908) 393-5630
Entity
Organization
Contact information
Practice address
163 PROSPECT PARK W, BROOKLYN, NY 11215-5271
(347) 335-0165
Mailing address
65 ORIENTAL BLVD APT 14C, BROOKLYN, NY 11235-4920
(718) 306-7755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016790
NY
Other
Enumeration date
12/08/2008
Last updated
07/03/2019
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