| Doctor Name: | DR. REBECCA E DISUNNO |
| NPI Number: | 1144569807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD,RNCS,LCAT |
| License Number: | 000096-1 |
| Business Practice Address: | 44 Buell Ln East Hampton, NY - 119373212 |
| Business Phone Number: | 6313291486 |
| Business Fax Number: | |
| Mailing Address: | 44 Buell Ln, EAST HAMPTON |
| State: | NY |
| Postal Code: | 119373212 |
| Phone Number: | 6313291486 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000096-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |