| Organization Name: | SPECTRUM PSYCHOLOGICAL OPERATIONS, PLLC |
| NPI Number: | 1003170630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN J MINASIAN (PRESIDENT) |
| Mailing Address: | 514 Haight Ave Poughkeepsie |
| State: | NY US |
| Postal Code: | 126032464 |
| Phone Number: | 8454853500 |
| Fax Number: | 8454858780 |
| NPI Enumeration Date: | 06/28/2012 |
| NPI Last Update Date: | 06/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 012403 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |