Organization
PSYCHOLOGICAL HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, SECRETARY, TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
3300 JAMES ST, SUITE 100, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Mailing address
3300 JAMES ST, SUITE 100, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01715746
—
NY
Enumeration date
09/26/2006
Last updated
02/07/2023
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