Provider Demographics
NPI:1851897185
Name:ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC
Entity type:Organization
Organization Name:ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-772-2709
Mailing Address - Street 1:9 ARCHER PL
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4101
Mailing Address - Country:US
Mailing Address - Phone:914-772-2709
Mailing Address - Fax:
Practice Address - Street 1:547 SAW MILL RIVER RD STE 3G
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2154
Practice Address - Country:US
Practice Address - Phone:914-772-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012634103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty