Individual
MS. ANGELA ZIZZAMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC, CAS
Contact information
Practice address
15 PINE GROVE ST, WOODSTOCK, NY 12498-1507
(845) 679-5511
Mailing address
15 PINE GROVE ST, WOODSTOCK, NY 12498-1507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000062
NY
103T00000X
Psychologist
018565
NY
103TS0200X
School Psychologist
1050608
NY
Other
Enumeration date
10/06/2008
Last updated
06/25/2010
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