Individual
SUZANNE DALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 BROOKLYN AVE, BROOKLYN AVENUE SCHOOL, VALLEY STREAM, NY 11581-1222
(516) 256-0167
Mailing address
24 BROOKLYN AVE, BROOKLYN AVENUE SCHOOL, VALLEY STREAM, NY 11581-1222
(516) 256-0167
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1059626
NY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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