Individual
DR. CONSTANCE ELLEN SCHOENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1239 N COUNTRY RD, STE 7, STONY BROOK, NY 11790-1934
(631) 751-4615
(631) 941-2774
Mailing address
201 E BROADWAY, PORT JEFFERSON, NY 11777-1248
(631) 928-5245
(631) 941-2774
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S11324
WORKER'S COMPENSATION
NY
Enumeration date
06/13/2006
Last updated
02/26/2014
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