J Robert Quilty PHD Psychologist PC
NPI #1841698131 in Stony Brook, New York
Provider Information
- NPI Number
- 1841698131
- Entity Type
- Organization
- Organization Name
- J Robert Quilty PHD Psychologist PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Dec 18, 2014
Practice Location
- Address
- 139 MAIN STREET
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-0304
- Phone
- (631) 751-4873
Authorized Official
- Name
- ROBERT QUILTY, PH.D.
- Title
- PSYCHOLOGIST
- Phone
- (631) 751-4873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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