Individual
SHIRLEY JOSEPH-ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109-46 172ND STREET, JAMAICA, NY 11433
(347) 623-9215
Mailing address
109-46 172ND STREET, JAMAICA, NY 11433
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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