Cultivate Psychological Services Pllc
NPI #1003528803 in East Setauket, New York
Provider Information
- NPI Number
- 1003528803
- Entity Type
- Organization
- Organization Name
- Cultivate Psychological Services Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 23, 2022
- Last Updated
- Dec 23, 2022
Practice Location
- Address
- 100 S JERSEY AVE UNIT 21
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-2036
- Phone
- (631) 213-7690
Authorized Official
- Name
- DR. ANGELA TURNER DOUGHERTY, PHD
- Title
- SOLE MEMBER, LICENSED PSYCHOLOGIST
- Phone
- (631) 213-7690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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