Organization Name: | PSYCHOLOGICAL EVALUATIONS & CONSULTING |
NPI Number: | 1467764480 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD PETER DEBENEDETTO (OWNER) |
Mailing Address: | 66 Main St Bedford Hills |
State: | NY US |
Postal Code: | 105071800 |
Phone Number: | 9142440755 |
Fax Number: | 9142440754 |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 008548-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |