Individual
MRS. LYZA M GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ED.
Contact information
Practice address
101 STAGE RD, MONROE, NY 10950-3512
(845) 827-6227
Mailing address
101 STAGE RD, MONROE, NY 10950-3512
(845) 827-6227
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
171M00000X
NY
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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