Individual
DR. DIANA PLANELLS-BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
515 NORTH AVE, NEW ROCHELLE, NY 10801-3405
(914) 576-4386
Mailing address
345 LAKE SHORE DR, PLEASANTVILLE, NY 10570-1319
(914) 576-4385
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
013286-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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