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Contact Information

MICHAEL J PARRELLA, PhD
646 MAIN ST
PORT JEFFERSON, NY11777-2235
 Phone: 631-473-4652
 Fax: 631-473-4652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL J PARRELLA · (Male)

NPI Number 1699742577
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/01/2006
Last updated 12/08/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 9908
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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