Individual
DR. BREANNA GUILLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
321 DANTE CT, HOLBROOK, NY 11741-3839
(631) 365-1417
Mailing address
321 DANTE CT, HOLBROOK, NY 11741-3839
(631) 365-1417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024008
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
06/23/2015
Last updated
04/08/2025
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