Individual
REBECCA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
358 VETERANS MEMORIAL HWY, COMMACK, NY 11725-4326
(631) 493-7876
Mailing address
130 HALLOCK LANDING RD, ROCKY POINT, NY 11778-8993
(631) 655-7282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026187
NY
103T00000X
Psychologist
—
—
Other
Enumeration date
04/15/2022
Last updated
01/29/2024
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