Individual
KATELYNN MOISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1300 ALDRICH LN, LAUREL, NY 11948-1002
(631) 806-4725
Mailing address
1300 ALDRICH LN, LAUREL, NY 11948-1002
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1388841
NY
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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