Individual
AMANDA ROSE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BROADHOLLOW RD STE 3011, MELVILLE, NY 11747-2502
(718) 626-6161
Mailing address
80 TIPTON DR E, SHIRLEY, NY 11967-3617
(631) 433-8018
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/20/2023
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