Individual
DR. MARISA DANA HAMMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
203 TAHLULAH LN, WEST ISLIP, NY 11795-4611
(516) 241-4693
Mailing address
203 TAHLULAH LN, WEST ISLIP, NY 11795-4611
(516) 241-4693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019131
NY
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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