Individual provider · Type 1 NPI

Dana G. Bush, PhD

Clinical Psychologist · Lake Ronkonkoma, NY

NPI number 1174640668 Active

Practice location

290 Hawkins Ave, Ste. B
Lake Ronkonkoma, NY 11779-9600

Mailing address

156 W 56th St Ste 1804
New York, NY 10019-3878

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X013045 (NY)
Clinical Child & Adolescent Psychologist 103TC2200X013045 (NY)
Clinical Psychologist Primary 103TC0700X013045 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

3 other providers at this address

About NPI 1174640668

Dana G. Bush, PhD's National Provider Identifier is 1174640668, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on May 8, 2018.