Individual
ASHLEY DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 CEDAR SWAMP RD, GLEN COVE, NY 11542-3728
(516) 801-6915
Mailing address
27 CEDAR SWAMP RD, GLEN COVE, NY 11542-3728
(516) 801-6915
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1103492
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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