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Dr. H. Tad Troutman, Ph.D.

Psychologist, Clinical in Patchogue, NY. Individual provider (NPI-1).

NPI number1356516652
StatusActive
Last updated in NPPESMay 10, 2012

Details

NPI
1356516652
Entity type
Individual (NPI-1)
Name
Dr. H. Tad Troutman
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 28, 2008
Last updated
May 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical017613NYYes

Practice location

31 Oak St
Suite 21
Patchogue, NY 11772-2841

Phone 631-598-9217 · Fax 866-586-3157

Mailing address

31 Oak St
Suite 21
Patchogue, NY 11772-2841

Phone 631-598-9217 · Fax 866-586-3157

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