Organization
IN PSYCH WE TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNA DOMOND (CLINICAL NEUROPSYCHOLOGIST)
(516) 749-9047
Entity
Organization
Contact information
Practice address
68 S SERVICE RD STE 100, MELVILLE, NY 11747-2350
(516) 749-9047
Mailing address
68 S SERVICE RD STE 100, MELVILLE, NY 11747-2350
(516) 749-9047
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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