Wellqor Psychological Services of Wisconsin, S.c.

NPI #1194252742 in Melville, New York

Provider Information

NPI Number: 1194252742
Entity Type: Organization
Organization Name: Wellqor Psychological Services of Wisconsin, S.c.
Primary Specialty: Psychologist
Enumeration Date: May 15, 2017
Last Updated: Jun 8, 2020

Practice Location

Address: 135 PINELAWN RD STE 204N
City: Melville
State: New York
ZIP Code: 11747-3133
Phone: (844) 888-0355

Authorized Official

Name: CONSTANCE LEE WOYTHAL, PSYD
Title: OWNER
Phone: (516) 987-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Psychologist	103T00000X	Primary

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