Individual
JOLITA LYDIA GUDAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED; MSM
Contact information
Practice address
23 BLUEBERRY LN, STONY BROOK, NY 11790-2515
(516) 313-4885
Mailing address
23 BLUEBERRY LN, STONY BROOK, NY 11790-2515
(516) 313-4885
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1840812
NY
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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