Individual
ELIZABETH FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S; M.A.
Contact information
Practice address
310 GRIGGS AVE, TEANECK, NJ 07666-3155
(201) 310-9379
Mailing address
310 GRIGGS AVE, TEANECK, NJ 07666-3155
(201) 310-9379
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1135422
NY
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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