Individual
DEBRA MARIE FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
260 MAIN STREET, SUITE 202, NORTHPORT, NY 11768
(631) 784-7761
Mailing address
260 MAIN STREET, SUITE 202, NORTHPORT, NY 11768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018181
NY
Other
Enumeration date
12/23/2015
Last updated
02/28/2020
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