| Farrell Psychological Services, Pllc | |
|
646 Main St Port Jefferson NY 11777-2235 | |
| (631) 901-7777 | |
| Not Available |
| Full Name | Farrell Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 646 Main St, Port Jefferson, New York |
| Authorized Official Name and Position | Frank Farrell (PSYCHOLOGIST) |
| Authorized Official Contact | 6319017777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farrell Psychological Services, Pllc 105 Leeward Ln Port Jefferson NY 11777-2307 Ph: (631) 901-7777 | Farrell Psychological Services, Pllc 646 Main St Port Jefferson NY 11777-2235 Ph: (631) 901-7777 |
| NPI Number | 1952775934 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 3779974662 |
|---|---|
| Medicare Enrollment ID | O20220104001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952775934 | NPI | - | NPPES |
| Provider Name | Frank Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790325496 PECOS PAC ID: 6901296334 Enrollment ID: I20211129002095 |
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