Organization
ESTEEMED PSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MICHAEL JOHNSON PSY.D. (PRESIDENT)
(786) 427-3230
Entity
Organization
Contact information
Practice address
114 OLD MANSION RD, CHESTER, NY 10918-4802
(786) 427-3230
Mailing address
114 OLD MANSION RD, CHESTER, NY 10918-4802
(786) 427-3230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019420-1
NY
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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