Individual
MARY CHRISTINE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1219
(631) 444-8053
Mailing address
96 BAY RD, HALESITE, NY 11743-1356
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
027770
NY
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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