Individual
MS. HEATHER LYNNE CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ADHD-CCSP
Contact information
Practice address
795 WISCONSIN AVE, BAY SHORE, NY 11706-2336
(631) 332-1806
Mailing address
1311 MILL RD, RONKONKOMA, NY 11779-1402
(631) 332-1806
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
962632
NY
Other
Enumeration date
10/02/2023
Last updated
11/06/2023
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