| Child & Adolescent Psychological Service & Wellness, P.c. | |
|
496 Smithtown Byp Suite 304 Smithtown NY 11787-5005 | |
| (631) 239-5956 | |
| Not Available |
| Full Name | Child & Adolescent Psychological Service & Wellness, P.c. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 496 Smithtown Byp, Smithtown, New York |
| Authorized Official Name and Position | Carla Natalucci-hall (PSYCHOLOGIST) |
| Authorized Official Contact | 6312395956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Adolescent Psychological Service & Wellness, P.c. 496 Smithtown Byp Suite 304 Smithtown NY 11787-5005 Ph: (631) 239-5956 | Child & Adolescent Psychological Service & Wellness, P.c. 496 Smithtown Byp Suite 304 Smithtown NY 11787-5005 Ph: (631) 239-5956 |
| NPI Number | 1245488527 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245488527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 012586-01 (New York) | Primary |
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