Individual
ALISON ANN TEBBETT-MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4310 DITMARS BLVD # 126, ASTORIA, NY 11105-1337
(917) 409-6010
Mailing address
4310 DITMARS BLVD # 126, ASTORIA, NY 11105-1337
(917) 409-6010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020673
NY
Other
Enumeration date
07/12/2014
Last updated
01/18/2025
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