Individual
THERESA CERUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
41 RIVER AVE, EASTPORT, NY 11941-1216
(631) 721-3922
Mailing address
PO BOX 446, EASTPORT, NY 11941-0446
(631) 721-3922
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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