Jimmy K Master, PSYD
NPI #1164079802 in Stony Brook, New York
Provider Information
- NPI Number
- 1164079802
- Entity Type
- Individual
- Name
- Jimmy K Master, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Aug 19, 2019
- Last Updated
- Aug 19, 2019
Practice Location
- Address
- 100 NICOLLS RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 632-9510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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