Pine Bush Mental Health, LLP

NPI #1962572362 in Albany, New York

Provider Information

NPI Number: 1962572362
Entity Type: Organization
Organization Name: Pine Bush Mental Health, LLP
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1A PINE WEST PLZ
City: Albany
State: New York
ZIP Code: 12205-5556
Phone: (518) 862-1665

Authorized Official

Name: DR. PATRICIA POLANIK MILLER, PH.D.
Title: LICENSED PSYCHOLOGIST
Phone: (518) 862-1665

Specialties & Taxonomy Codes

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

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