Individual
DR. CAROL A. CANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2277 GRAND AVE, BALDWIN, NY 11510-3148
(516) 377-5400
(516) 377-5490
Mailing address
2277 GRAND AVE, BALDWIN, NY 11510-3148
(516) 377-5400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
05/09/2012
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