Individual
DR. CLARISSA BULLITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
SBUMC HSC LEVEL 10, RM. 020, STONY BROOK, NY 11794-8101
(631) 444-2990
Mailing address
SBUMC HSC LEVEL 10, RM. 020, STONY BROOK, NY 11794-8101
(631) 444-2990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014890
NY
Other
Enumeration date
11/04/2006
Last updated
09/29/2013
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