Individual provider · Type 1 NPI
Elene Jessica Costuck, PhD
Clinical Psychologist · Southampton, NY
Practice location
168 Hill St
Southampton, NY 11968-5310
Mailing address
492 N Main St # 2
Southampton, NY 11968-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 015628-1 (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…
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- Diana Dautzenberg-Walter, MS, CCC-SLP, TSSLDSpeech-Language Pathologist Southampton, NY NPI 1720552961
- Donna Marie Horton-Batist, P.T.Pediatric Physical Therapist Southampton, NY NPI 1861520660
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- Gina Marie Constantine, M.A., CCC-SLP, TSHHSpeech-Language Pathologist Southampton, NY NPI 1881723336
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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.