Nancy Louise Cerullo, LCSW-R
NPI #1326176611 in Port Jefferson, New York
Provider Information
- NPI Number
- 1326176611
- Entity Type
- Individual
- Name
- Nancy Louise Cerullo, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 407 E MAIN ST
- Address 2
- SUITE 15
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1866
- Phone
- (631) 680-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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