=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912442997
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTCHESTER PARENTING STRATEGIES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2016
-----------------------------------------------------
Last Update Date | 12/29/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 87 PURITAN DR
-----------------------------------------------------
City | SCARSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10583-6839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-650-1613
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 87 PURITAN DR
-----------------------------------------------------
City | SCARSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10583-6839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE PROPREITOR
-----------------------------------------------------
Name | LISA ALLISON KATZEN
-----------------------------------------------------
Credential | LCSWR
-----------------------------------------------------
Telephone | 516-650-1613
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number | R056858-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------