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Dr. Michael Leonard Nissenbaum, PHD
Cognitive & Behavioral Psychologist in Centereach, New York
NPI 1174546725

Michael Leonard Nissenbaum is a Cognitive & Behavioral Psychologist based in Centereach, NY and is specialized in Cognitive & Behavioral. Michael Leonard Nissenbaum practices in Centereach, NY and has the professional credentials of PHD. The NPI Number for Michael Leonard Nissenbaum is 1174546725 and holds a License No. 010232 (New York).

The current practice location address for Michael Leonard Nissenbaum is 2100 Middle Country Rd, Centereach, NY and can be reached out via phone at 631-737-9500 and via fax at 631-737-9512.

Location: 2100 Middle Country Rd, Centereach, NY, 11720-0625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174546725
Provider Name
Michael Leonard Nissenbaum
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2100 Middle Country Rd, Centereach, NY, 11720-0625
Phone Number
631-737-9500
Fax Number
631-737-9512
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2100 Middle Country Rd
City
Centereach
State
New York
Zip
11720-3577
Phone Number
631-737-9500
Fax Number
631-737-9512
person
Provider Business Mailing Address Details
Address
2100 Middle Country Rd
City
Centereach
State
New York
Zip
11720-3577
Phone Number
631-737-9500
Fax Number
631-737-9512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
010232 (New York)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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