Individual
VINCENT JOSEPH TARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
Mailing address
235 BUTTONWOOD WAY, HOPEWELL JCT, NY 12533-4317
(845) 475-7583
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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