Individual provider · Type 1 NPI

Kevin Joseph Nissen, PhD

Psychologist · Northport, NY

NPI number 1245093616 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Call (631) 261-4400 Map

Mailing address

PO Box 34
Holtsville, NY 11742-0034

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1245093616

Kevin Joseph Nissen, PhD's National Provider Identifier is 1245093616, issued on Jan 30, 2024. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Northport, NY. The record was last updated on Jan 30, 2024.