Individual
BRANDI ELISE TAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
932 BROADWAY, WOODMERE, NY 11598-1723
(516) 295-7480
Mailing address
932 BROADWAY, WOODMERE, NY 11598-1723
(516) 295-7480
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
012320-1
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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