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Individual

DR. COURTNEY VERONICA CICCONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
223 KATONAH AVE, KATONAH, NY 10536-2146
(516) 528-5674
Mailing address
223 KATONAH AVE, KATONAH, NY 10536-2146

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
022417-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
022417-1
NY

Other

Enumeration date
10/04/2019
Last updated
10/04/2019
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