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Individual

DEBRA JEAN PIETRANGELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD.

Contact information

Practice address
123 DIXON RD, QUEENSBURY, NY 12804-2133
(518) 798-9187
(518) 798-9187
Mailing address
123 DIXON RD, QUEENSBURY, NY 12804-2133
(518) 798-9187
(518) 798-9187

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0144021
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02145628
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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