# CHILD & ADOLESCENT PSYCHOLOGICAL SERVICE & WELLNESS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245488527
- **Authorized official:** DR. CARLA NATALUCCI-HALL PSY.D. (PSYCHOLOGIST)
- **Authorized official phone:** (631) 239-5956

## Contact information

- **Practice address:** 496 SMITHTOWN BYP, SUITE 304, SMITHTOWN, NY 11787-5005
- **Practice address phone:** (631) 239-5956
- **Mailing address:** 496 SMITHTOWN BYP, SUITE 304, SMITHTOWN, NY 11787-5005
- **Mailing address phone:** (631) 239-5956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 012586-01 | NY | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 08/28/2008