Individual
TERRI MARCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 LAWRENCE AVE, MALVERNE, NY 11565-1406
(516) 825-7383
Mailing address
21 LAWRENCE AVE, MALVERNE, NY 11565-1406
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000757
NY
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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