Provider Demographics
NPI:1669133757
Name:BEDFORD PSYCHOLOGICAL SERVICES P.C.
Entity type:Organization
Organization Name:BEDFORD PSYCHOLOGICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-419-2678
Mailing Address - Street 1:11 N HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-5120
Mailing Address - Country:US
Mailing Address - Phone:914-419-2678
Mailing Address - Fax:845-207-3647
Practice Address - Street 1:11 N HOLLOW RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-5120
Practice Address - Country:US
Practice Address - Phone:914-419-2678
Practice Address - Fax:845-207-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency