Dr. Clarissa Bullitt
Clinical Psychologist
Sbumc Hsc Level 10 Rm. 020
Stony Brook
, New York 11794-8101
Dr. Clarissa Bullitt
Clinical Psychologist
Sbumc Hsc Level 10 Rm. 020
Stony Brook
, New York 11794-8101
(631) 444-2990
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Clarissa Bullitt
- Sbumc Hsc Level 10 Rm. 020
- Stony Brook, NY
- Zip : 11794-8101
- Phone : (631) 444-2990
Second Address
- Dr. Clarissa Bullitt
- Sbumc Hsc Level 10 Rm. 020
- Stony Brook, NY
- Zip : 11794-8101
- Phone : (631) 444-2990
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 014890 | NY |
| Y | 103TC0700X | Clinical Psychologist | 014890 | NY |
National Provider Identifier
| NPI | 1013096403 |
|---|---|
| Provider Name | Dr. Clarissa Bullitt |
| First Address | Stony Brook, NY 11794-8101 |
| Second Address | Stony Brook, NY 11794-8101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2006 |
| Last Update Date | 29/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.