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Individual

ANNE DALEBROUX MYKYTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022230-1
NY
103TS0200X
School Psychologist
530023111
NY
103TS0200X
School Psychologist
533364111
NY

Other

Enumeration date
02/28/2012
Last updated
05/28/2019
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