Individual
SONIA P AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 EMORY RD, MINEOLA, NY 11501-2363
(516) 237-2549
(516) 237-2508
Mailing address
200 EMORY ROAD, MINEOLA, NY 11501
(516) 237-2549
(516) 237-2508
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
014982-1
NY
251300000X
Local Education Agency (LEA)
Primary
014982-1
NY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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