Individual
DR. EMMA LEAH HETTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
400 SUNSET LN, SMITHTOWN, NY 11787-4423
(631) 338-7088
Mailing address
400 SUNSET LN, SMITHTOWN, NY 11787-4423
(631) 338-7088
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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