Individual
DR. LINDA L STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
165 SAINT REGIS DR, MASSAPEQUA PARK, NY 11762-3454
(516) 672-6746
Mailing address
165 SAINT REGIS DR, MASSAPEQUA PARK, NY 11762-3454
(516) 672-6746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011809
NY
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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