Organization
INTENTIONAL LIVING PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
Intentional Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN TERRACCIANO PH.D. (DIRECTOR/PSYCHOLOGIST)
(646) 478-7682
Entity
Organization
Contact information
Practice address
875 SIXTH AVENUE, SUITE 1603, NEW YORK, NY 10001-3574
(646) 478-7682
Mailing address
875 SIXTH AVENUE, SUITE 1603, NEW YORK, NY 10001-3574
(646) 478-7682
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
015554
NY
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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