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Individual

DR. DIANNE MARIE POLOWCZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
20 MEADOWWOOD CT, HUNTINGTON, NY 11743-3829
(631) 271-6810
(631) 271-9783
Mailing address
20 MEADOWWOOD CT, HUNTINGTON, NY 11743-3829
(631) 271-6810
(631) 271-9783

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8265
NY
103TA0700X
Adult Development & Aging Psychologist
8265
NY
103TB0200X
Cognitive & Behavioral Psychologist
8265
NY
103TC0700X
Clinical Psychologist
8265
NY
103TC2200X
Clinical Child & Adolescent Psychologist
8265
NY
103TF0000X
Family Psychologist
8265
NY
103TH0004X
Health Psychologist
8265
NY
103TP2701X
Group Psychotherapy Psychologist
8265
NY

Other

Enumeration date
07/14/2007
Last updated
07/14/2007
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