Organization
ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. DEVINNEY PH.D. (PRESIDENT)
(631) 987-3780
Entity
Organization
Contact information
Practice address
105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
(631) 987-3780
(631) 204-0069
Mailing address
40 HIGH ST, SOUTHAMPTON, NY 11968-4061
(631) 987-3780
(845) 340-7314
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012661
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
012661
NY
103TA0700X
Adult Development & Aging Psychologist
012661
NY
103TC0700X
Clinical Psychologist
012661
NY
103TR0400X
Rehabilitation Psychologist
012661
NY
Other
Enumeration date
04/04/2007
Last updated
04/27/2011
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