DR. Donna Kathy Nissman, PSYD

NPI #1174744049 in Northport, New York

Provider Information

NPI Number: 1174744049
Entity Type: Individual
Name: DR. Donna Kathy Nissman, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 55 SANDY HOLLOW RD
City: Northport
State: New York
ZIP Code: 11768
Phone: (631) 261-3958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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