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Individual

ROBERT B DEVINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
105 MEDFORD AVE, PATCHOGUE, NY 11772-1223
(631) 987-3780
(631) 204-0069
Mailing address
414 SUNRISE HWY, PMB 329, PATCHOGUE, NY 11772-2254
(631) 987-3780
(631) 204-0069

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
012661-1
NY
103TR0400X
Rehabilitation Psychologist

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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