Organization
COMPREHENSIVE PSYCHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY ROSEN PSY.D. (SOLE MEMBER)
(631) 708-6041
Entity
Organization
Contact information
Practice address
64 COUNTY ROAD 39, SOUTHAMPTON, NY 11968-5215
(631) 702-1000
Mailing address
31 NW LANDING RD, EAST HAMPTON, NY 11937-5122
(631) 708-6041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02949668
—
NY
Enumeration date
01/07/2008
Last updated
04/26/2017
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