Individual
ELIZABETH YISSEL REYESBOUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
118 SAINT MARKS AVE, FREEPORT, NY 11520-5424
(516) 643-4026
Mailing address
118 SAINT MARKS AVE, FREEPORT, NY 11520-5424
(516) 643-4026
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2521402
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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