Individual
CORYN DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOUNT EBO RD S, BREWSTER, NY 10509-4004
(845) 878-9078
Mailing address
4 WILSON BLVD, POUGHKEEPSIE, NY 12603-3304
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1416000
NY
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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