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Dr. Russell Keith Bomse, PHD
Clinical Psychologist in Northport, New York
NPI 1780725705

Russell Keith Bomse is a Clinical Psychologist based in Northport, NY and is specialized in Clinical. Russell Keith Bomse practices in Northport, NY and has the professional credentials of PHD. The NPI Number for Russell Keith Bomse is 1780725705 and holds a License No. 009117-1 (New York).

The current practice location address for Russell Keith Bomse is 90 Mar Kan Dr, Northport, NY and can be reached out via phone at 631-754-6192.

Location: 90 Mar Kan Dr, Northport, NY, 11768-1858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780725705
Provider Name
Russell Keith Bomse
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
90 Mar Kan Dr, Northport, NY, 11768-1858
Phone Number
631-754-6192
Fax Number
Provider Enumeration Date
02/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
90 Mar Kan Dr
City
Northport
State
New York
Zip
11768-1858
Phone Number
631-754-6192
Fax Number
person
Provider Business Mailing Address Details
Address
90 Mar Kan Dr
City
Northport
State
New York
Zip
11768-1858
Phone Number
631-754-6192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
009117-1 (New York)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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