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Individual

DR. JULIE IVANS SCHIMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2174 HEWLETT AVE STE 105, MERRICK, NY 11566-3612
(516) 858-2877
Mailing address
175 SAINT REGIS DR, MASSAPEQUA PARK, NY 11762-3454
(917) 968-8359

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020838-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020838-1
PSYCHOLOGY LICENSE
NY
Enumeration date
09/20/2010
Last updated
05/12/2019
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