Individual
MRS. COURTNEY JEANNE ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 NEWFOUNDLAND AVE, HUNTINGTON, NY 11743-4942
(631) 368-0193
Mailing address
39 NEWFOUNDLAND AVE, HUNTINGTON, NY 11743-4942
(631) 368-0193
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1853704
NY
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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