SILVER LAKE PSYCHOTHERAPY ASSOCIATES, PLLC

NPI # 

Practice Address:

1036 Victory Blvd

Staten Island, NY, 10301-3622

Practice Phone:

718-727-3313

Practice Fax:

718-667-0131

License Number:

1041C0700X

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X