Individual
DR. KATHRYN JEAN DEROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
77 BROADWAY, AMITYVILLE, NY 11701-2785
(585) 750-9921
Mailing address
77 BROADWAY, AMITYVILLE, NY 11701
(516) 308-6075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019956
NY
Other
Enumeration date
01/25/2013
Last updated
07/21/2022
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