Individual
BREANNA VIZLAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 GLEN HEAD RD STE 3, GLEN HEAD, NY 11545-1433
(347) 464-2275
Mailing address
600 PINE HOLLOW RD APT 7-4B, EAST NORWICH, NY 11732-1025
(347) 464-2275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
027571
NY
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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