Organization
BALANCE WITH INTENT PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLA BECKLES PH.D. (OWNER/CLINICAL PSYCHOLOGIST)
(718) 390-8815
Entity
Organization
Contact information
Practice address
166 BROADWAY STE 19, AMITYVILLE, NY 11701-2704
(718) 390-8815
Mailing address
21905 74TH AVE FL 1, BAYSIDE, NY 11364-3031
(516) 318-0297
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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