Individual provider · Type 1 NPI

Ettalee Samek Pass, PhD

Clinical Psychologist · Smithtown, NY

NPI number 1275576241 Active

Practice location

29 Manor Rd
Smithtown, NY 11787-2714

Fax (631) 751-5287

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X011597 (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…

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About NPI 1275576241

Ettalee Samek Pass, PhD's National Provider Identifier is 1275576241, issued on Jun 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Smithtown, NY. The record was last updated on Feb 7, 2010.