Individual
DR. MICHAEL J PARRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
646 MAIN ST, PORT JEFFERSON, NY 11777-2235
(631) 473-4652
(631) 473-4652
Mailing address
646 MAIN ST, PORT JEFFERSON, NY 11777-2235
(631) 473-4652
(631) 473-4652
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9908
NY
103TC0700X
Clinical Psychologist
9908
NY
Other
Enumeration date
03/01/2006
Last updated
12/08/2011
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