Individual
DR. AMANDA LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
404 OKEEFE CT, OAKDALE, NY 11769-2334
(631) 219-1472
Mailing address
404 OKEEFE CT, OAKDALE, NY 11769-2334
(631) 219-1472
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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