Individual
STEPHANIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
300 GARDEN CITY PLZ STE 350, GARDEN CITY, NY 11530-3358
(516) 747-9030
Mailing address
8 COMET LN, MASSAPEQUA, NY 11758-7828
(516) 459-1370
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
904597
NY
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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