Organization
DYNAMIC PATHWAYS, LCSW, PLLC
Active
Other names
Dynamic Pathways, LCSW, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WHALEY GUNDERSEN LCSW (OWNER)
(631) 960-8575
Entity
Organization
Contact information
Practice address
600 JOHNSON AVE STE C13, BOHEMIA, NY 11716-2674
(631) 960-8575
(631) 315-1090
Mailing address
600 JOHNSON AVE STE C13, BOHEMIA, NY 11716-2674
(163) 196-0857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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