Provider Demographics
NPI:1235479387
Name:ALBANY PSYCHOLOGICAL SERVICES FOR EATING DISORDERS, PLLC
Entity Type:Organization
Organization Name:ALBANY PSYCHOLOGICAL SERVICES FOR EATING DISORDERS, PLLC
Other - Org Name:LIVEWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:NETTINA
Authorized Official - Last Name:MORISON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-218-1188
Mailing Address - Street 1:1 PINE WEST PLZ STE 106
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-5531
Mailing Address - Country:US
Mailing Address - Phone:518-218-1188
Mailing Address - Fax:518-218-1988
Practice Address - Street 1:1 PINE WEST PLZ STE 106
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5531
Practice Address - Country:US
Practice Address - Phone:518-218-1188
Practice Address - Fax:518-218-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty