Eric Neblung, PH.D.
Individual provider Active NPI Clinical Psychologist · Haverstraw, NY
NPI 1124153580 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124153580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 017068-1 (NY)
- Practice address
- 87 South Route 9 W
Haverstraw, NY 10927 - Phone
- (845) 429-5381
- Fax
- (845) 429-3001
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017068-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017068-1 | NY | Yes |
Addresses
Primary practice location
87 South Route 9 W
Haverstraw, NY 10927
Mailing address
1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280
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All providers in Haverstraw, 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.