Individual
DR. MELISSA LARACUENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
61-21 UTOPIA PARKWAY, FRESH MEADOWS, NY 11365
(646) 706-7781
(646) 706-7781
Mailing address
1927 EDISON AVENUE, BRONX, NY 10461-3825
(646) 706-7781
(646) 706-7781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0174951
NY
103T00000X
Psychologist
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—
Other
Enumeration date
05/18/2008
Last updated
05/05/2010
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