Consumer Psychological Services PC

NPI #1194025445 in Nanuet, New York

Provider Information

NPI Number: 1194025445
Entity Type: Organization
Organization Name: Consumer Psychological Services PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 2, 2010
Last Updated: Nov 2, 2010

Practice Location

Address: 55 OLD NYACK TPKE
Address 2: SUITE 601
City: Nanuet
State: New York
ZIP Code: 10954-2461
Phone: (914) 714-5023

Authorized Official

Name: DR. LARRY S. BORAKOVE, PH.D.
Title: PRESIDENT
Phone: (914) 714-5023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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