Individual
DR. MICHELLE LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
322 LAGOON DR W, LIDO BEACH, NY 11561-4908
(516) 897-2073
Mailing address
322 LAGOON DR W, LIDO BEACH, NY 11561-4908
(516) 897-2073
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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