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Organization

CHILD & ADOLESCENT PSYCHOLOGICAL SERVICE & WELLNESS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA NATALUCCI-HALL PSY.D. (PSYCHOLOGIST)
(631) 239-5956
Entity
Organization

Contact information

Practice address
496 SMITHTOWN BYP, SUITE 304, SMITHTOWN, NY 11787-5005
(631) 239-5956
Mailing address
496 SMITHTOWN BYP, SUITE 304, SMITHTOWN, NY 11787-5005
(631) 239-5956

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
012586-01
NY

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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