Organization
CORNERSTONE DEVELOPMENTAL PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CLOSSON PH.D. (PSYCHOLOGIST)
(631) 925-1003
Entity
Organization
Contact information
Practice address
750 VETS HWY, SUITE 202, HAUPPAUGE, NY 11788-2943
(631) 925-1003
Mailing address
750 VETS. MEM. HWY., SUITE 202, HAUPPAUGE, NY 11788-2943
(631) 925-1003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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