Individual
KERRY HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
81 SCUDDER AVE, NORTHPORT, NY 11768-2966
(631) 464-0260
Mailing address
81 SCUDDER AVE, NORTHPORT, NY 11768-2966
(631) 464-0260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025768-01
NY
Other
Enumeration date
10/11/2023
Last updated
03/30/2026
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