Individual
NATHALIA GUIRACOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 PENINSULA BLVD, HEMPSTEAD, NY 11550-4900
(516) 434-4411
Mailing address
810 27TH AVE APT 415, ASTORIA, NY 11102-3924
(646) 547-7145
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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