Individual
MS. KATHLEEN M DEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
418 E 78TH ST, APT 2D, NEW YORK, NY 10075-1690
(917) 684-5314
Mailing address
418 E 78TH ST, APT 2D, NEW YORK, NY 10075-1690
(917) 684-5314
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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