Individual provider · Type 1 NPI

Charles Destefano, PhD

Psychologist · Staten Island, NY

NPI number 1710203393 Active

Practice location

77 Governor Rd
Staten Island, NY 10314-3021

Fax (718) 273-9179

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X010175-1 (NY)

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 1710203393

Charles Destefano, PhD's National Provider Identifier is 1710203393, issued on Apr 8, 2010. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 8, 2010.