North Fork Neuropsychology

NPI #1225309339 in Medford, New York

Provider Information

NPI Number: 1225309339
Entity Type: Organization
Organization Name: North Fork Neuropsychology
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 20, 2012
Last Updated: Jan 20, 2012

Practice Location

Address: 12 PLATINUM CT
City: Medford
State: New York
ZIP Code: 11763-2247
Phone: (631) 875-2748

Authorized Official

Name: DR. CELINE MARIE PAILLOT, PH.D.
Title: FOUNDER AND OWNER
Phone: (631) 875-2748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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