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NPI Code Detail

MEDICARE: ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC

MEDICARE: ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist012634NY

General Provider Information

NPI Number : 1851897185
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 9 ARCHER PL
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-4101
Country : US
Telephone Number : 914-772-2709
Fax Number :
Provider Business Practice Location Address
First Line : 547 SAW MILL RIVER RD STE 3G
Second Line :
City : ARDSLEY
State : NY
Zip : 10502-2154
Country : US
Telephone Number : 914-772-2709
Fax Number :
Authorized Official
Title or Position : PSYCHOLOGIST/PARTNER
Name : DR. MANUEL ALUMA
Credential : PH.D.
Telephone Number : 914-772-2709
Provider Enumeration Date : 04/04/2018
Last Update Date : 04/04/2018

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Directions to “ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC ” Practice Location

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