Individual
DR. DONNA ANN ATTIVISSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
103 FORT SALONGA RD STE 2, FORT SALONGA, NY 11768-1454
(631) 987-0913
Mailing address
103 FORT SALONGA RD STE 2, FORT SALONGA, NY 11768-1454
(631) 987-0913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012838
NY
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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