Healthcare Provider Details
I. General information
NPI: 1477985877
Provider Name (Legal Business Name): HEALTH PSYCHOLOGY ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PINE WEST PLZ SUITE 106
ALBANY NY
12205-5531
US
IV. Provider business mailing address
1 PINE WEST PLZ SUITE 106
ALBANY NY
12205-5531
US
V. Phone/Fax
- Phone: 518-218-1188
- Fax:
- Phone: 518-218-1188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
NETTINA
MORISON
Title or Position: PRACTICE OWNEER/ PSYCHOLOGIST
Credential: PHD
Phone: 518-218-1188