Individual
LAUREN MARIE PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
(516) 518-2328
Mailing address
212 BEEBE RD, MINEOLA, NY 11501-2230
(516) 286-3625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027069
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
02/09/2022
Last updated
02/10/2025
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