Individual
MRS. KEISHA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 MAMARONECK AVE, WHITE PLAINS, NY 10605-5221
(914) 328-2868
Mailing address
1311 MAMARONECK AVE, WHITE PLAINS, NY 10605-5221
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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