Individual provider · Type 1 NPI

Russell Keith Bomse, PhD

Clinical Psychologist · Northport, NY

NPI number 1780725705 Active

Practice location

90 Mar Kan Dr
Northport, NY 11768-1858

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X009117-1 (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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About NPI 1780725705

Russell Keith Bomse, PhD's National Provider Identifier is 1780725705, issued on Feb 11, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Northport, NY. The record was last updated on Jul 8, 2007.