Louis Joseph Corrado, PH.D.
Individual provider Active NPI Clinical Psychologist · Centerport, NY
NPI 1013125129 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013125129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 9310 (NY)
- Practice address
- 245 McKinley Ter
Centerport, NY 11721-1311 - Phone
- (631) 271-1941
- Fax
- (631) 271-1941
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9310 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9310 | NY | Yes |
Addresses
Primary practice location
245 McKinley Ter
Centerport, NY 11721-1311
Mailing address
177 Main St
Suite 201
Huntington, NY 11743-6917
Phone (631) 271-1941
Other providers in Centerport, NY
- Centerport Fitness & Nutrition Corp
- Cherry Haven Wellness
- Ernest C Chisena
- Barbara Clemett
- Elaine Vetrano Close
- Michael A Coyle
- Patricia F Coyle
- Thomas John D'Amico
- David J Pincus MD
- Mary Beth Denniston
All providers in Centerport, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.