Individual
ROUA ELTAYEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8057 LEFFERTS BLVD APT 3, KEW GARDENS, NY 11415-1797
(631) 450-2295
Mailing address
8057 LEFFERTS BLVD APT 3, KEW GARDENS, NY 11415-1797
(347) 706-5538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002131
NY
106H00000X
Marriage & Family Therapist
37FI00221200
NJ
Other
Enumeration date
11/03/2020
Last updated
09/22/2023
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