Individual
DR. ROBERT BRUCE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
223 ROANOKE AVE, RIVERHEAD, NY 11901-2778
(631) 369-5361
(631) 369-9423
Mailing address
223 ROANOKE AVE, RIVERHEAD, NY 11901-2778
(631) 369-5361
(631) 369-9423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015564-1
NY
Other
Enumeration date
12/21/2006
Last updated
07/09/2007
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