Organization
FARRELL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK FARRELL PH.D. (PSYCHOLOGIST)
(631) 901-7777
Entity
Organization
Contact information
Practice address
646 MAIN ST, PORT JEFFERSON, NY 11777-2235
(631) 901-7777
Mailing address
105 LEEWARD LN, PORT JEFFERSON, NY 11777-2307
(631) 901-7777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017980-1
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
017980-1
NY
103TA0700X
Adult Development & Aging Psychologist
017980-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
017980-1
NY
103TC0700X
Clinical Psychologist
017980-1
NY
103TC1900X
Counseling Psychologist
017980-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
017980-1
NY
103TF0000X
Family Psychologist
017980-1
NY
103TH0004X
Health Psychologist
017980-1
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
017980-1
NY
103TP2701X
Group Psychotherapy Psychologist
017980-1
NY
103TR0400X
Rehabilitation Psychologist
017980-1
NY
103TS0200X
School Psychologist
017980-1
NY
Other
Enumeration date
05/27/2014
Last updated
05/29/2014
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