Omni Psychotherapy, Lcsw, P.c.
NPI #1669951596 in White Plains, New York
Provider Information
- NPI Number
- 1669951596
- Entity Type
- Organization
- Organization Name
- Omni Psychotherapy, Lcsw, P.c.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 10, 2018
- Last Updated
- Jul 11, 2019
Practice Location
- Address
- 180 S BROADWAY STE 405
- City
- White Plains
- State
- New York
- ZIP Code
- 10605-1820
- Phone
- (917) 805-0044
Authorized Official
- Name
- IVAN DILLER, LCSW-R
- Title
- PRESIDENT
- Phone
- (917) 805-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
Additional Practice Locations
180 S Broadway Ste 409
White Plains, NY, 10605-1820
(917) 805-0044
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