Individual
DR. MARY ANNE HANLEY GESKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 MONTAUK HWY, SUITE Z, WEST ISLIP, NY 11795-4418
(631) 422-5952
(631) 472-1817
Mailing address
7 SALTMEADOW CT, BAYPORT, NY 11705-2205
(631) 472-6048
(631) 472-1817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
008795
NY
103TA0700X
Adult Development & Aging Psychologist
008795
NY
103TB0200X
Cognitive & Behavioral Psychologist
008795
NY
103TC0700X
Clinical Psychologist
Primary
008795
NY
103TC2200X
Clinical Child & Adolescent Psychologist
008795
NY
103TP0814X
Psychoanalysis Psychologist
008795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048459
VALUE OPTIONS ID NUMBER
NY
05
—
02145393
—
NY
Enumeration date
08/28/2005
Last updated
08/13/2010
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