Healthcare Provider Details

I. General information

NPI: 1235479387
Provider Name (Legal Business Name): ALBANY PSYCHOLOGICAL SERVICES FOR EATING DISORDERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINE WEST PLZ STE 106
ALBANY NY
12205-5531
US

IV. Provider business mailing address

1 PINE WEST PLZ STE 106
ALBANY NY
12205-5531
US

V. Phone/Fax

Practice location:
  • Phone: 518-218-1188
  • Fax: 518-218-1988
Mailing address:
  • Phone: 518-218-1188
  • Fax: 518-218-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE NETTINA MORISON
Title or Position: OWNER/ PSYCHOLOGIST
Credential: PHD
Phone: 518-218-1188