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Individual

DR. SUZANNAH L. B. ESPINOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
589 FRANKLIN TPKE, SUITE 8, RIDGEWOOD, NJ 07450-1989
(845) 624-2994
(845) 697-4092
Mailing address
91 LAUREL HILL DR, WESTTOWN, NY 10998-3921
(845) 624-2994
(845) 697-4092

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15093
NY
103TC2200X
Clinical Child & Adolescent Psychologist
15093
NY

Other

Enumeration date
03/17/2007
Last updated
09/18/2009
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