Individual
SHAUNA SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Mailing address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2118708
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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