Individual
DANA THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY, D.
Contact information
Practice address
350 MARTHA AVE, BELLPORT, NY 11713-1525
(516) 655-7957
Mailing address
40 LEONARD DR, MASSAPEQUA, NY 11758-7920
(516) 655-7957
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
020379
NY
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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