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Contact Information

TINA K HEAD, PhD
20 COUNTY ROUTE 37
CENTRAL SQUARE, NY13036-3130
 Phone: 315-751-9777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TINA K HEAD · (Female)

NPI # 1427356054
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/07/2011
Last updated 05/16/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 018995
Hospital affiliation(s)
  • OSWEGO HOSPITAL - (Acute Care)
    110 WEST SIXTH STREET
    OSWEGO, NY 13126
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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