SEALIGHT COALITION NPI 1871956573

NPI Information

SEALIGHT COALITION is a prescribing (medical) psychologist in Brooklyn, NY. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SEALIGHT COALITION NPI is 1871956573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26 COURT ST
2011
BROOKLYN, NY
ZIP 11242-103
Phone: (718) 624-3192

The provider's authorized official is Mariam Garuba .
The authorized official title is Founder and has the following contact phone number (973) 908-5642.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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