Individual
STACEY GISH WALLENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2 HAROLD CT, PLAINVIEW, NY 11803-5509
(917) 664-7453
Mailing address
2 HAROLD CT, PLAINVIEW, NY 11803-5509
(917) 664-7453
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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