Provider Demographics
NPI:1912196460
Name:SVETINA &HAVEN PSYCHOLOGY SERVICES,PLLC
Entity Type:Organization
Organization Name:SVETINA &HAVEN PSYCHOLOGY SERVICES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:SVETINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-695-2451
Mailing Address - Street 1:373 NESCONSET HWY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2516
Mailing Address - Country:US
Mailing Address - Phone:631-930-6110
Mailing Address - Fax:
Practice Address - Street 1:373 NESCONSET HWY
Practice Address - Street 2:SUITE 225
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2516
Practice Address - Country:US
Practice Address - Phone:631-930-6110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016226103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty