THERESA MCKENNA, PHD

Psychologist

Active Individual
NPI: 1568463560

Practice Address

200 BELLE TERRE RD
Port Jefferson, NY 11777

Phone: (631) 474-6000

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes 013779 (NY)

Frequently Asked Questions

NPI 1568463560 is the National Provider Identifier for THERESA MCKENNA, PHD, a Psychologist provider located in Port Jefferson, NY. This NPI was enumerated on August 2, 2005.
THERESA MCKENNA, PHD practices at 200 BELLE TERRE RD, Port Jefferson, NY 11777.

Quick Facts

NPI
1568463560
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Jul 8, 2007

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