Organization
RYAN L CLEMENTS PSY.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CLEMENTS PSY.D. (PSYCHOLOGIST / OWNER)
(631) 626-4459
Entity
Organization
Contact information
Practice address
1099 N COUNTRY RD, UNIT L, STONY BROOK, NY 11790-1924
(631) 941-2210
Mailing address
1099 N COUNTRY RD, UNIT L, STONY BROOK, NY 11790-1924
(631) 941-2210
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
016820
NY
261QM0850X
Adult Mental Health Clinic/Center
016820
NY
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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