Individual
KATHLEEN MARIE EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
575 UNDERHILL BLVD, SYOSSET, NY 11791-3426
(516) 780-0111
Mailing address
3 HIGHLAND AVE, FARMINGVILLE, NY 11738-2006
(631) 495-5689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68-P127831-01
NY
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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