Individual
JULIE GUARASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15 HAIG AVE, EAST PATCHOGUE, NY 11772-4507
(631) 219-5781
(631) 569-5419
Mailing address
15 HAIG AVE, EAST PATCHOGUE, NY 11772-4507
(631) 219-5781
(631) 569-5419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017183-1
NY
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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