Healthcare Provider Details

I. General information

NPI: 1982533519
Provider Name (Legal Business Name): ALBERTA ELEENE SPRINGER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 NORTHERN BLVD FL 2
BAYSIDE NY
11361-3343
US

IV. Provider business mailing address

21301 NORTHERN BLVD FL 2
BAYSIDE NY
11361-3343
US

V. Phone/Fax

Practice location:
  • Phone: 718-721-5444
  • Fax:
Mailing address:
  • Phone: 718-721-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP141149
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: