Individual provider · Type 1 NPI

Elene Jessica Costuck, PhD

Clinical Psychologist · Southampton, NY

NPI number 1740318039 Active

Practice location

168 Hill St
Southampton, NY 11968-5310

Mailing address

492 N Main St # 2
Southampton, NY 11968-2804

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X015628-1 (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…

14 other providers at this address

About NPI 1740318039

Elene Jessica Costuck, PhD's National Provider Identifier is 1740318039, issued on Mar 1, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Southampton, NY. The record was last updated on Jul 8, 2007.