Individual
MACLE EMILY LAURENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
441 PARK BLVD, MASSAPEQUA PARK, NY 11762-3043
(516) 804-3763
Mailing address
441 PARK BLVD, MASSAPEQUA PARK, NY 11762-3043
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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