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Individual

TERESA GRELLA-HILLEBRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
14 CANDLEWOOD PATH, DIX HILLS, NY 11746-5304
(631) 327-2508
Mailing address
14 CANDLEWOOD PATH, DIX HILLS, NY 11746-5304
(631) 327-2508

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000155-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P3480536
OXFORD HEALTH PLAN
NY
01
P3480536
UNITED HEALTHCARE
Enumeration date
04/27/2007
Last updated
02/03/2017
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