Individual
MS. OLIVIA JULIETTE DERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4401 BRONX BLVD FL 1, ROOM 139, BRONX, NY 10470-1407
(718) 304-7022
Mailing address
4401 BRONX BLVD FL 1, BRONX, NY 10470-1407
(718) 304-7022
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
09/28/2021
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