Individual
ALIZA SEPTIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
553 WILLOW AVE, CEDARHURST, NY 11516-2200
(516) 983-8003
Mailing address
556 CHURCH AVE, WOODMERE, NY 11598-2730
(516) 569-9035
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
013945-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02487832
—
NY
Enumeration date
07/18/2006
Last updated
07/09/2007
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