BOOMER PSYCHOLOGICAL SERVICES PC
Social Work at 77 St, New York, NY

License number
New York 011975
Category
Social Work
Type
Clinical
Owner
Name: BONNIE KELLEN PHD
Title: PRESIDENT
Phone: (212) 861-0740
Address
Address
201 E 77Th St APT 16E, New York, NY 10075
National Provider ID: 1992132963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BOOMER PSYCHOLOGICAL SERVICES PC

201 E 77, New York, NY 10075

Industry:
Health Practitioner's Office
Registration:
Jul 10, 2013
State ID:
4428777
Business type:
Domestic Professional Corporation
Phd:
Bonnie Kellen (Phd)

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