Individual
MELISSA SUE CHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10945 207TH ST, QUEENS VILLAGE, NY 11429-1411
(718) 740-2400
Mailing address
10945 207TH ST, QUEENS VILLAGE, NY 11429-1411
(718) 740-2400
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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