Individual
DIANA M DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 FORRESTAL CT, STATEN ISLAND, NY 10312-1914
(646) 338-0531
Mailing address
23 FORRESTAL CT, STATEN ISLAND, NY 10312-1914
(646) 338-0531
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1033066
NJ
103TS0200X
School Psychologist
Primary
1054727162
NY
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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