Provider Demographics
NPI:1659985083
Name:SMALL STEPS PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:SMALL STEPS PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUDLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:929-265-0308
Mailing Address - Street 1:247 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3308
Mailing Address - Country:US
Mailing Address - Phone:929-265-0308
Mailing Address - Fax:
Practice Address - Street 1:247 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3308
Practice Address - Country:US
Practice Address - Phone:929-265-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty