Individual
KRYSTLE LEE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.D
Contact information
Practice address
38 ABBOTT AVE, MASTIC, NY 11950-1533
(631) 926-9358
Mailing address
38 ABBOTT AVE, MASTIC, NY 11950
(631) 926-9358
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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