Pesca, Michelle C.

Pesca, Michelle C. is an individual health care provider with primary practice located at 1650 Sycamore Ave Ste 44 , Bohemia NY 11716-1736. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Pesca, Michelle C. can be contacted via phone (631) 542-2753.

Contact Information

Primary practice address
1650 Sycamore Ave Ste 44 Bohemia NY 11716-1736
Phone: (631) 542-2753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 000075-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 020386-1 New York

Profile Details

NPI number 1164946372
LBN Legal business name Pesca, Michelle C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2017
Last updated Mar 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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