Individual
TRIANNA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 QUEENS BLVD, FOREST HILLS, NY 11375-4748
(212) 804-7659
Mailing address
3458 90TH ST APT 2K, JACKSON HEIGHTS, NY 11372-3612
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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