Individual
MR. ADAM GOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., M.A.
Contact information
Practice address
85 PHILADELPHIA AVE, MASSAPEQUA PARK, NY 11762-2547
(516) 626-1000
(516) 626-2039
Mailing address
85 PHILADELPHIA AVE, MASSAPEQUA PARK, NY 11762-2547
(516) 626-1000
(516) 626-2039
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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