Organization · Type 2 NPI

Innovative Career Center LLC

Intellectual & Developmental Disabilities Psychologist · New York, NY

NPI number 1891067377 Active

Practice location

116 W 23rd St, #206, 5th Floor
New York, NY 10011-2599

Fax (212) 313-9439

Mailing address

268 Edgemont Ter
Teaneck, NJ 07666-3404

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800X000351-1 (NY)
Rehabilitation Psychologist 103TR0400X37RT00288300 (NJ)

Intellectual & Developmental Disabilities Psychologist: Definition to come...

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About NPI 1891067377

Innovative Career Center LLC's National Provider Identifier is 1891067377, issued on Jan 31, 2012. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in New York, NY. The record was last updated on Jan 31, 2012.