Individual provider · NPI-1

Dr. Sue Carver, PsyD

Psychologist, Clinical · Lynbrook, NY

NPI number1720144488
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720144488
Entity type
Individual (NPI-1)
Name
Dr. Sue Carver
Credential
PsyD
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical013641NYYes

Practice location

200 Atlantic Ave
Lynbrook, NY 11563-3505

Phone 516-593-7825

Mailing address

200 Atlantic Ave
Lynbrook, NY 11563-3505

Phone 516-593-7825

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