Individual
EMMANUEL GAUTREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., ED.M
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
17 DECATUR LN, LAKE GROVE, NY 11755-2509
(631) 676-6504
(631) 389-2580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
103TS0200X
School Psychologist
—
NY
Other
Enumeration date
06/01/2007
Last updated
03/12/2014
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