Individual
SAMANTHA CUMMINS WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ STE 350, GARDEN CITY, NY 11530-3358
(516) 428-3562
Mailing address
PO BOX 158, GLENWOOD LANDING, NY 11547-0158
(516) 428-3562
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1000805
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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