Provider Demographics
NPI:1962638601
Name:INFANT PARENT CONSULTANT SERVICES, INC
Entity Type:Organization
Organization Name:INFANT PARENT CONSULTANT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:845-485-7106
Mailing Address - Street 1:40 KINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3419
Mailing Address - Country:US
Mailing Address - Phone:845-485-7106
Mailing Address - Fax:845-485-7106
Practice Address - Street 1:40 KINGSTON AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3419
Practice Address - Country:US
Practice Address - Phone:845-485-7106
Practice Address - Fax:845-485-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency