Individual
VANDA RUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 STONY ST, MOHEGAN LAKE, NY 10547-1913
(914) 885-0110
Mailing address
PO BOX 402, JEFFERSON VALLEY, NY 10535-0402
(321) 424-0654
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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