Individual
DEBORAH DANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 PENN ST, PORT JEFFERSON STATION, NY 11776-3807
(516) 238-7354
Mailing address
61 PENN ST, PORT JEFFERSON STATION, NY 11776-3807
(516) 238-7354
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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