Individual
STEPHANIE CARADONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, PD
Contact information
Practice address
160 E MAIN ST, REAR BUILDING, HUNTINGTON, NY 11743-7400
(631) 659-3337
Mailing address
160 E MAIN ST, REAR BUILDING, HUNTINGTON, NY 11743-7400
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
440368101
NY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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