Rodney J Dimotta, PH.D.

Individual provider Active NPI Cognitive & Behavioral Psychologist · East Norwich, NY

NPI 1972708121 · NPPES record last updated Jul 25, 2007

Key facts

NPI
1972708121
Entity type
Individual (NPI type 1)
Primary specialty
Cognitive & Behavioral Psychologist 103TB0200X
License
006927 (NY)
Practice address
46 Sugar Toms LN
East Norwich, NY 11732-1150
Phone
(516) 922-3490
NPI assigned
Jun 18, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 006927 NY Yes

Addresses

Primary practice location

46 Sugar Toms LN
East Norwich, NY 11732-1150

Mailing address

46 Sugar Toms LN
East Norwich, NY 11732-1150
Phone (516) 922-3490

Other providers in East Norwich, NY

All providers in East Norwich, NY · Cognitive & Behavioral Psychologist in New York

Sources for this page

Verify at the official NPI Registry.