in Trumansburg - Clinical

- NPI 1174733018

is a Clinical in Trumansburg, New York. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1174733018. The last update date is .

's current location address is 12 Halsey St, Trumansburg, New York. You can contact this provider via phone number 6072278571 and fax number 6073875751. The mailing address for is 12 Halsey St, Trumansburg, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 12 Halsey St, Trumansburg, New York
Phone Number 6072278571
Fax Number 6073875751
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1174733018
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 12 Halsey St
City Trumansburg
State New York (NY)
Post Code 148869531
Phone Number 6072278571
Fax Number 6073875751

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 7168
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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