Individual
DR. TRISHA G ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
21 CHESTNUT ST, GREENVALE, NY 11548-1104
(516) 626-6710
Mailing address
21 CHESTNUT ST, GREENVALE, NY 11548-1104
(516) 626-6710
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
021910
NY
103TS0200X
School Psychologist
Primary
021910
NY
Other
Enumeration date
07/21/2015
Last updated
03/17/2018
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