Individual
ALYSSA VEGA
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) 629-4558
Mailing address
21 CHESTNUT ST, GREENVALE, NY 11548-1104
(516) 629-4558
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
022091-1
NY
Other
Enumeration date
04/24/2017
Last updated
10/11/2018
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