Wavelengths Psychology, PC
NPI #1013375906 in Massapequa Park, New York
Provider Information
- NPI Number
- 1013375906
- Entity Type
- Organization
- Organization Name
- Wavelengths Psychology, PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 5, 2016
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 4770 SUNRISE HWY
- Address 2
- SUITE 105
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-2911
- Phone
- (800) 871-5491
Authorized Official
- Name
- SHARON GRAND, PHD
- Title
- OWNER
- Phone
- (800) 871-5491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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