Individual
MRS. DEBRA ANN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
200 FOREST DR, JERICHO, NY 11753-2320
(516) 931-4727
Mailing address
200 FOREST DR, JERICHO, NY 11753-2320
(516) 931-4727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NY
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/30/2007
Last updated
07/21/2022
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