Individual
KELLY JEAN RHATIGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2277 GRAND AVE, BALDWIN, NY 11510-3148
(516) 546-6924
(516) 546-9639
Mailing address
1063 THOMAS AVE, BALDWIN, NY 11510-4134
(516) 771-2106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0156081
NY
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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