Individual
MS. SUSAN KAREN PERLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6325 DRY HARBOR RD, MIDDLE VILLAGE, NY 11379-1964
(718) 639-9750
Mailing address
6325 DRY HARBOR RD, MIDDLE VILLAGE, NY 11379-1964
(718) 639-9750
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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