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NPI Code Detail

MEDICARE: DGE PSYCHOLOGICAL SERVICES

MEDICARE: DGE PSYCHOLOGICAL SERVICES
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1952166142
Entity Type Code : Organization
Provider Name (Legal Business Name) : DGE PSYCHOLOGICAL SERVICES
Provider Business Mailing Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Provider Business Practice Location Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Authorized Official
Title or Position : PSYCHOLOGIST
Name : VERONICA KING
Credential :
Telephone Number : 914-269-8882
Provider Enumeration Date : 02/16/2024
Last Update Date : 03/05/2024

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362 DEVOE AVE UNIT 473
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10460-9448
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Directions to “DGE PSYCHOLOGICAL SERVICES ” Practice Location

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