Healthcare Provider Details

I. General information

NPI: 1720377260
Provider Name (Legal Business Name): TRUE CARE PSYCHOLOGICAL & LMSW SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 W BROADWAY STE 10B
HEWLETT NY
11557-1943
US

IV. Provider business mailing address

25 N 8TH AVE
HIGHLAND PARK NJ
08904-2920
US

V. Phone/Fax

Practice location:
  • Phone: 516-345-0456
  • Fax: 866-575-1763
Mailing address:
  • Phone: 516-345-0456
  • Fax: 866-575-1763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: ALAN WINDER
Title or Position: DIRECTOR
Credential:
Phone: 516-345-0456