Individual
LAURA ELLEN ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
998 CROOKED HILL RD, BLDG 56, BRENTWOOD, NY 11717-1019
(631) 761-3394
Mailing address
998 CROOKED HILL RD, BLDG 56, BRENTWOOD, NY 11717-1019
(631) 761-3394
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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