Provider Demographics
NPI:1437451689
Name:COGNITIVE THERAPY IF SI PYSCH SVCS & LIC MENTAL HEALTH COUNSELOR PLLC
Entity Type:Organization
Organization Name:COGNITIVE THERAPY IF SI PYSCH SVCS & LIC MENTAL HEALTH COUNSELOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALHANY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:347-273-1290
Mailing Address - Street 1:1110 SOUTH AVE
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3403
Mailing Address - Country:US
Mailing Address - Phone:347-273-1290
Mailing Address - Fax:718-227-6007
Practice Address - Street 1:1110 SOUTH AVE
Practice Address - Street 2:SUITE # 5
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3403
Practice Address - Country:US
Practice Address - Phone:347-273-1290
Practice Address - Fax:718-227-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002483-1101YM0800X
NY017286-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty