Individual
DESPINA D KONSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
500 N BROADWAY, JERICHO, NY 11753-2127
(516) 719-6383
Mailing address
1677 STILLWELL AVE, BROOKLYN, NY 11223-1029
(917) 847-9872
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0170741
NY
103TC0700X
Clinical Psychologist
Primary
0170741
NY
Other
Enumeration date
10/01/2007
Last updated
05/12/2020
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