East End Kids Psy, Slp, Ot & Pt Serv. Pllc
NPI #1518256619 in Southampton, New York
Provider Information
- NPI Number
- 1518256619
- Entity Type
- Organization
- Organization Name
- East End Kids Psy, Slp, Ot & Pt Serv. Pllc
- Primary Specialty
- Psychologist - Counseling
- Enumeration Date
- Mar 30, 2011
- Last Updated
- Mar 30, 2011
Practice Location
- Address
- 502 N SEA RD
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-2012
- Phone
- (631) 267-2900
Authorized Official
- Name
- DR. STEPHEN SICILIAN, PH.D.
- Title
- EXECUTIVE DIRECTOR / PSYCHOLOGIST
- Phone
- (631) 267-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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