Individual
DR. GAYLE BARBARA PETIGROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10 DRIFTWOOD LN, DIX HILLS, NY 11746-7940
(631) 462-6882
Mailing address
10 DRIFTWOOD LN, DIX HILLS, NY 11746-7940
(631) 462-6882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011596-1
NY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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