| H. Tad Troutman, Ph.d., Psychologist, Pllc | |
|
10 Brentwood Rd Suite 2 Bay Shore NY 11706-8022 | |
| (631) 968-7700 | |
| Not Available |
| Full Name | H. Tad Troutman, Ph.d., Psychologist, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10 Brentwood Rd, Bay Shore, New York |
| Authorized Official Name and Position | H. Tad Troutman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6319687700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Tad Troutman, Ph.d., Psychologist, Pllc 10 Brentwood Rd Suite 2 Bay Shore NY 11706-8022 Ph: (631) 968-7700 | H. Tad Troutman, Ph.d., Psychologist, Pllc 10 Brentwood Rd Suite 2 Bay Shore NY 11706-8022 Ph: (631) 968-7700 |
| NPI Number | 1033434782 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033434782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017613 (New York) | Primary |
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