Individual
NAIREE LEA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 556-1616
Mailing address
96 CREEK RD, BRICK, NJ 08724-3314
(732) 995-4012
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
R60945777353922
NJ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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