Organization
NORTH COAST PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WALDECKER PSY.D. (CO-OWNER/DIRECTOR)
(516) 780-0111
Entity
Organization
Contact information
Practice address
6851 JERICHO TPKE STE 125, SYOSSET, NY 11791-4454
(516) 780-0111
Mailing address
6851 JERICHO TPKE STE 125, SYOSSET, NY 11791-4454
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
022047
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
019641
NY
Other
Enumeration date
12/20/2017
Last updated
02/23/2026
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