Doctor Name: | DR. CELINE MARIE PAILLOT |
NPI Number: | 1164720389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 019026 |
Business Practice Address: | 324 5th Ave Greenport, NY - 119441508 |
Business Phone Number: | 6318752748 |
Business Fax Number: | |
Mailing Address: | 324 5th Ave, GREENPORT |
State: | NY |
Postal Code: | 119441508 |
Phone Number: | 6318752748 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 019026 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |