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Individual

MS. JUNE L OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
932 SOUTH LONG BEACH AVENUE, FREEPORT, NY 11520
(516) 868-1426
(516) 868-1426
Mailing address
932 SOUTH LONG BEACH AVENUE, FREEPORT, NY 11520
(516) 868-1426
(516) 868-1426

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010797
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01371677
NY
Enumeration date
03/06/2007
Last updated
07/08/2007
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