Individual
BONNIE MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
Mailing address
1 OLD COUNTRY RD, SUITE 271, CARLE PLACE, NY 11514-1801
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012002-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01517688
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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