Individual
MS. TAYLOR AMABILE HEEDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 WOODMERE BLVD, WOODMERE, NY 11598-2035
(516) 295-1340
Mailing address
16019 80TH ST, HOWARD BEACH, NY 11414-2918
(718) 775-1541
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/13/2019
Last updated
10/01/2019
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