Individual
LAUREN ELIZABETH PETRISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAS
Contact information
Practice address
301 MAIN ST, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
32 DIAMOND RD, ELLENVILLE, NY 12428-5907
(907) 203-0208
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2545527
NY
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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