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Organization

H. TAD TROUTMAN, PH.D., PSYCHOLOGIST, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. H. TAD TROUTMAN PH.D. (CLINICAL PSYCHOLOGIST)
(631) 968-7700
Entity
Organization

Contact information

Practice address
10 BRENTWOOD RD, SUITE 2, BAY SHORE, NY 11706-8022
(631) 968-7700
Mailing address
10 BRENTWOOD RD, SUITE 2, BAY SHORE, NY 11706-8022
(631) 968-7700

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017613
NY

Other

Enumeration date
04/06/2010
Last updated
11/16/2010
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