Allysa J Wachholder, LCSW
NPI #1497787188 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1497787188
- Entity Type
- Individual
- Name
- Allysa J Wachholder, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 36 CLYMER ST
- State
- New York
- ZIP Code
- 11776-3913
- Phone
- (631) 828-6024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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