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NPI Profile for LONG ISLAND NEUROPSYCHOLOGY PC in LAKE RONKONKOMA, NY.
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI Number | 1356467419 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/21/2007 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LONG ISLAND NEUROPSYCHOLOGY, P.C.