Dina Vivian is a Clinical in Stony Brook, New York. Dina Vivian practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dina Vivian is 1548258817. The last update date is 2011-11-28.
Dina Vivian's current location address is 1239 Route 25a, Stony Brook, New York. You can contact this provider via phone number 6316893483 and fax number 6315845261. The mailing address for Dina Vivian is 1239 Route 25a, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dina Vivian |
|---|---|
| Address | 1239 Route 25a, Stony Brook, New York |
| Phone Number | 6316893483 |
| Fax Number | 6315845261 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548258817 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2011-11-28 |
Provider Mailing Address Detail
| Address | 1239 Route 25a |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117901934 |
| Phone Number | 6316893483 |
| Fax Number | 6315845261 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 9593 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P590784 | NY | OXFORD HEALTH INSURANCE | |
| 38569 | NY | GHI | |
| 69201 | NM | VALUE OPTIONS | |
| 85652000 | NY | MAGELLAN BEHAVIORAL HEALT |
Post Comment/ Review Below
What is the Dina Vivian's 1548258817?
The Dina Vivian's NPI (National Provider Identifier) Number is 1548258817. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dina Vivian's facilities are situated?
The facilities of Dina Vivian are physically located at the following address: 1239 Route 25A, Stony Brook, NY, 117901934.
What is the Dina Vivian's specialty and taxonomy code?
The Dina Vivian's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548258817 to Dina Vivian?
The Dina Vivian received its 1548258817 assignment from the Centers for Medicare & Medicaid Services on 2005-10-11.
When was the Dina Vivian's information last updated?
The Dina Vivian's information was last updated on 2011-11-28.
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