Individual provider · Type 1 NPI

Christian Thomas Racine, PhD

Clinical Psychologist · Smithtown, NY

NPI number 1619094430 Active

Practice location

11 Route 111
Smithtown, NY 11787-3712

Call (631) 920-8300 Map

Fax (631) 920-8460

Mailing address

85 Fulton St
Lake Grove, NY 11755-3043

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X017090 (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 1619094430

Christian Thomas Racine, PhD's National Provider Identifier is 1619094430, issued on Mar 25, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Smithtown, NY. The record was last updated on Jul 8, 2007.