| Robert B. Devinney, Ph.d. Psychologist Pc | |
|
105 Medford Ave Patchogue NY 11772-1223 | |
| (631) 987-3780 | |
| (631) 204-0069 |
| Full Name | Robert B. Devinney, Ph.d. Psychologist Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 105 Medford Ave, Patchogue, New York |
| Authorized Official Name and Position | Robert B. Devinney (PRESIDENT) |
| Authorized Official Contact | 6319873780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B. Devinney, Ph.d. Psychologist Pc 40 High St Southampton NY 11968-4061 Ph: (631) 987-3780 | Robert B. Devinney, Ph.d. Psychologist Pc 105 Medford Ave Patchogue NY 11772-1223 Ph: (631) 987-3780 |
| NPI Number | 1114049871 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 04/27/2011 |
| Medicare PECOS PAC ID | 0143407122 |
|---|---|
| Medicare Enrollment ID | O20110531000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114049871 | NPI | - | NPPES |
| Provider Name | Robert Burke Devinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184922056 PECOS PAC ID: 1052598034 Enrollment ID: I20110531000002 |
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