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Contact Information

CHRISTINE COOLIDGE, PHD
186 W MONTAUK HWY
D1
HAMPTON BAYS, NY11946
 Phone: 631-728-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CHRISTINE COOLIDGE · (Female)

NPI # 1255525549
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/30/2007
Last updated 08/30/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 0148401
  • NY License # 2428621
Hospital affiliation(s) Not Available
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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