FIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C.
Social Work at Broadhollow Rd, Farmingdale, NY

License number
New York 68-60276
Category
Social Work
Type
Clinical
Owner
Name: DR. THERESA IRENE DESANTIS PH.D.
Title: PRESIDENT
Phone: (631) 414-7181
Address
Address 2
1111 Broad Hollow Rd SUITE 204, Farmingdale, NY 11735
32 Sally Ln, Hicksville, NY 11803
National Provider ID: 1922166628
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C. at bizstanding.com

FIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C

32 Sally Ln, Plainview, NY 11803

Status:
Inactive
Industry:
Offices of Health Practitioners, Nsk
Doing business as:
First Light Psychological
Registration:
Jun 7, 2006
State ID:
3372723
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Agent:
Theresa Irene Desantis,32 Sally Ln, Plainview, NY 11803 (Physical)

Social Work licenses in New York










Other General Professional services licenses in New York