Individual
HEATHER MARIE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
Mailing address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022401
NY
103TC0700X
Clinical Psychologist
Primary
022401
NY
Other
Enumeration date
07/07/2025
Last updated
01/26/2026
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