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Individual

DR. PAUL J MELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
283 COMMACK RD STE 210, COMMACK, NY 11725-3400
(631) 858-1090
(631) 499-0534
Mailing address
283 COMMACK RD STE 210, COMMACK, NY 11725-3400
(631) 858-1090
(631) 499-0534

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
103TF0200X
Forensic Psychologist
Primary
010495
NY

Other

Enumeration date
12/23/2010
Last updated
12/23/2010
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