ALLYSA WACHHOLDER, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1497787188
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 074310 (NY) |
Frequently Asked Questions
NPI 1497787188 is the National Provider Identifier for ALLYSA WACHHOLDER, LCSW, a Social Worker - Clinical provider located in Port Jefferson Station, NY. This NPI was enumerated on July 6, 2006.
ALLYSA WACHHOLDER, LCSW practices at 36 CLYMER ST, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1497787188
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Jul 8, 2007
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