Provider Demographics
NPI:1457058984
Name:NOTCH PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:NOTCH PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WOLDORF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-887-9553
Mailing Address - Street 1:PO BOX 1277
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01004-1277
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 S PROSPECT ST STE 5
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2268
Practice Address - Country:US
Practice Address - Phone:413-887-9553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty