National Provider Identifier Database

MID ISLAND PSYCHOLOGY ASSOCIATES PLLC
Cognitive & Behavioral

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.


Contact Information

MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC
500 N BROADWAY
JERICHO, NY11753-2127
Phone: 516-578-6484
Fax:
Website:
Specialty Taxonomy Code
* Cognitive & Behavioral 103TB0200X

* Indicates primary specialty

NPI Profile & details for MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC

NPI Number 1356864003
Legal business name
LBN
MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC
Authorized official LOREN PACKER-HOPKE - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2017
Last updated 07/24/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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